10A NCAC 09 .0601 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0510 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0515 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 14 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Tonia Caldwell, Director and Bernetta Oakes, Owner. Your program currently operates with a three-Star license, issued April 20, 2018. Restrictions include 1st and 2nd shift care; children on ground level only; meets enhanced ratios; children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 2/06/2026, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/03/2025 with a “Superior” classification. The last fire inspection was conducted on 10/02/2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent prior to the visit on 2/06/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Due to ice and snow covering the ground, playground surfacing could not be measured during the visit. I asked Mrs. Oakes and Ms. Caldwell to monitor the depth of this surfacing to ensure all fall zones meet the required depth for the type of surfacing used once the ice and snow melt and the ground thaws. I will monitor this item during my next visit. Additionally, approximately five sections of fencing along the back right section of the playground (when facing away from the building) were observed to be damaged. Approximately two sections of fencing on the left side of the playground were also observed to be in disrepair. Mrs. Caldwell stated (and Mrs. Oakes confirmed) a rotting tree had fallen due to the weight of the ice during the recent ice storm; Mrs. Caldwell stated she first noticed this damage had occurred when she stopped by the program to gather laundry on Sunday, 1/25/2026. A tree service was present during the visit trimming branches near and surrounding the playground outside the fenced-in area. Mrs. Oakes stated this tree trimming began yesterday, and she anticipates fencing repairs to be made within the next three weeks. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Caldwell stated this program does not transport children enrolled or participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted during to the visit. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and two new staff member were monitored during the visit. The files for three children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 2/03/2026. A lockdown drill was completed on 2/03/2026. A playground inspection was completed on 2/03/2026. The following violations were cited during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was observed to be conducted on 10/02/2024. 10A NCAC 09 .0304(a) 542 The written feeding plan was not modified as the child's needs changed. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. 10 NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. 10A NCAC 09 .0601(a) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The safe sleep policy for one infant enrolled was not observed on file for review. 10A NCAC 09 .0606(c) 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 CBC qualification letter for the owner of the facility expired on 10/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The job description for one new employee was not signed and dated for the date the policy was reviewed. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for another child enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not observed to be recorded on the Discipline Policy for two children enrolled. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. .0901(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were observed stored in their personnel files instead of their medical files. .0701(d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/20/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The safe sleep policy for one infant enrolled was not observed on file for review. The health assessment for one child enrolled in 2025 was completed in 2023. The health assessment for another child enrolled was not observed on file for review. A Nutrition Opt Out Policy was not observed on file for one child enrolled whose parent brings all food and beverages to the program for the child. The Shaken Baby and Abusive Head Trauma Policy for one child enrolled did not have a date recorded for when the parent signed the policy. One infant feeding plan for an infant enrolled in care was not observed to be updated to include baby food. The medication authorization form for one child enrolled with an emergency medication did not have a dosage recorded for the medication; a dosage was recorded on this form during the visit. The Ready to Go file for the facility was not observed to have an allergy list included for staff or children enrolled; an allergy list was added to the file during the visit. The most recent fire inspection on file was observed to be conducted on 10/02/2024. It is extremely important for all required documentation to be on file for the program, children, and staff at all times. Mrs. Oakes and Ms. Caldwell stated they would have parents complete all possible documentation upon arrival for pick-up today. Ms. Caldwell stated she was unaware a Nutrition Opt Out Form was required for the one child enrolled. Mrs. Oakes contacted the fire department during the visit, and stated she had accidentally overlooked scheduling this inspection; she visited the inspection website during the visit to request a fire inspection to be conducted. Mrs. Oakes stated the fire inspector said once he received her request, he would come out to inspect the facility on Monday, 2/09/2026 at 10 a.m. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. The CBC qualification letter for the owner was not observed to be linked to the facility’s ABCMS Facility Profile. It is necessary for all staff members to have a qualification letter linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance in linking these qualification letters to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On a shelf of the porch on the playground used by children, a broken plastic bucket sharp to the touch was observed. On the playground, one small plastic picnic table was observed broken, cracked, and sharp to the touch. Each of these items was removed during the visit. It is imperative for the outdoor learning environment to be a safe place for children to explore and engage at all times. You may consider completing a daily playground check prior to children accessing the playground to ensure no potential hazards are present. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (f)(7) regarding the child care provider shall serve only 100 percent fruit juice, limited to 6 ounces per day, for all ages. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) regarding infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) (1-6) 10A NCAC 09 .0515 PARENT PARTICIPATION 10A NCAC 09 .0510 ACTIVITY AREAS (d) (2) (e) (f) regarding screen time 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding outlet safety covers Remember to complete the Professional Development Plan, Staff Evaluation, and EPR review for Ms. Marlzimo. Ms. Marlzimo must complete 18 hours of ongoing training on or before 2/18/2026. You may consider removing any old children’s applications from the facility’s Ready to Go file. Please remove the two staff members from your ABCMS roster who are no longer employed at the facility. Monitor the playground for newly growing baby holly bushes. When visually checking infants to ensure they are safe while sleeping, ensure their sleep positions are always recorded with each check, and when infants are placed on their backs to sleep, record “B”, even if the infant immediately rolls to his/her side/stomach. During the next visual check, staff can record the safe sleep position adopted. Review medication authorization forms and related medical actions plans for children with severe allergies who have emergency medications to ensure a complete list of allergies is listed for the child on both forms. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Oakes and Ms. Caldwell stated they plan to follow Pathway 1, Program Assessment, for the facility, and it is their goal to formally begin the Rated License process in April, 2026. The facility is already working with Smart Start of Forsyth County for support, and they plan to request an Outreach Assessment in the near future. Mrs. Oakes also stated she would be requesting a Technical Assistance Visit with me in the near future to discuss Pathway 1 in greater detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 20 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 245 Time In: 10:25 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Tonia Caldwell, Director. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st, 2nd, and 3rd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age children only in Space 7. 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 and activities with their teachers and in centers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/06/2025. A fire drill was recorded 8/01/2025. The most recent lockdown and shelter-in-place drills for the facility were recorded 6/01/25. The most recent fire inspection was on 10/02/2024. I observed a sanitation inspection was last conducted on 3/20/2025 earning a Superior classification. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not observed in the refrigerator in the kitchen which stores children's food. 15A NCAC 18A .2806(j)(2) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 6. 15A NCAC 18A .2821(b) & (c) 823 Toxic plants were accessible to children. Poison ivy was observed growing inside the back right side and corner of the outdoor learning environment (facing away from the building). .0604(l) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping in a rocking swing; the infant was recorded on the safe sleep chart to have fallen asleep at 10:05 a.m., and the time the same infant was observed still sleeping in the swing was 10:53 a.m. 10A NCAC 09 .0606(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The applications for four children enrolled were not observed in the Ready to Go file. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan had not been updated since 3/20/2024. .0607(e) 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 receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed signed and on file for one new employee. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. .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 9/02/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. The Emergency Preparedness and Response Plan had not been updated since 3/20/2024. It is imperative for all medication and emergency documentation to be updated and current at all times to ensure medication is administered accurately and with permission and to ensure the facility’s EPR Plan is current should an unexpected emergency arise. Ms. Caldwell stated she would update the EPR Plan as soon as possible, as well as have the parent complete the medication authorization form upon arrival for pick-up today. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Caldwell during the visit: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) regarding required fence height and (l)(4) regarding required depth for sand surfacing 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) regarding allergy postings 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posted lesson plans Please monitor outdoor playhouses for wasp nests. Terminate any employees no longer working for the facility in the ABCMS system. A copy of the NC FELD manual was provided to Ms. Caldwell during the visit. 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. I encourage you to attend the following webinar – Choosing a Pathway to the Stars: • August 20 at 6:30pm (child care centers and centers located in a residence) Join webinar 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. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0605 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 20 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 245 Time In: 10:25 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Tonia Caldwell, Director. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st, 2nd, and 3rd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age children only in Space 7. 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 and activities with their teachers and in centers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/06/2025. A fire drill was recorded 8/01/2025. The most recent lockdown and shelter-in-place drills for the facility were recorded 6/01/25. The most recent fire inspection was on 10/02/2024. I observed a sanitation inspection was last conducted on 3/20/2025 earning a Superior classification. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not observed in the refrigerator in the kitchen which stores children's food. 15A NCAC 18A .2806(j)(2) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 6. 15A NCAC 18A .2821(b) & (c) 823 Toxic plants were accessible to children. Poison ivy was observed growing inside the back right side and corner of the outdoor learning environment (facing away from the building). .0604(l) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping in a rocking swing; the infant was recorded on the safe sleep chart to have fallen asleep at 10:05 a.m., and the time the same infant was observed still sleeping in the swing was 10:53 a.m. 10A NCAC 09 .0606(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The applications for four children enrolled were not observed in the Ready to Go file. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan had not been updated since 3/20/2024. .0607(e) 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 receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed signed and on file for one new employee. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. .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 9/02/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. The Emergency Preparedness and Response Plan had not been updated since 3/20/2024. It is imperative for all medication and emergency documentation to be updated and current at all times to ensure medication is administered accurately and with permission and to ensure the facility’s EPR Plan is current should an unexpected emergency arise. Ms. Caldwell stated she would update the EPR Plan as soon as possible, as well as have the parent complete the medication authorization form upon arrival for pick-up today. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Caldwell during the visit: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) regarding required fence height and (l)(4) regarding required depth for sand surfacing 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) regarding allergy postings 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posted lesson plans Please monitor outdoor playhouses for wasp nests. Terminate any employees no longer working for the facility in the ABCMS system. A copy of the NC FELD manual was provided to Ms. Caldwell during the visit. 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. I encourage you to attend the following webinar – Choosing a Pathway to the Stars: • August 20 at 6:30pm (child care centers and centers located in a residence) Join webinar 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. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 20 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 245 Time In: 10:25 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Tonia Caldwell, Director. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st, 2nd, and 3rd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age children only in Space 7. 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 and activities with their teachers and in centers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/06/2025. A fire drill was recorded 8/01/2025. The most recent lockdown and shelter-in-place drills for the facility were recorded 6/01/25. The most recent fire inspection was on 10/02/2024. I observed a sanitation inspection was last conducted on 3/20/2025 earning a Superior classification. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not observed in the refrigerator in the kitchen which stores children's food. 15A NCAC 18A .2806(j)(2) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 6. 15A NCAC 18A .2821(b) & (c) 823 Toxic plants were accessible to children. Poison ivy was observed growing inside the back right side and corner of the outdoor learning environment (facing away from the building). .0604(l) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping in a rocking swing; the infant was recorded on the safe sleep chart to have fallen asleep at 10:05 a.m., and the time the same infant was observed still sleeping in the swing was 10:53 a.m. 10A NCAC 09 .0606(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The applications for four children enrolled were not observed in the Ready to Go file. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan had not been updated since 3/20/2024. .0607(e) 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 receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed signed and on file for one new employee. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. .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 9/02/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. The Emergency Preparedness and Response Plan had not been updated since 3/20/2024. It is imperative for all medication and emergency documentation to be updated and current at all times to ensure medication is administered accurately and with permission and to ensure the facility’s EPR Plan is current should an unexpected emergency arise. Ms. Caldwell stated she would update the EPR Plan as soon as possible, as well as have the parent complete the medication authorization form upon arrival for pick-up today. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Caldwell during the visit: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) regarding required fence height and (l)(4) regarding required depth for sand surfacing 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) regarding allergy postings 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posted lesson plans Please monitor outdoor playhouses for wasp nests. Terminate any employees no longer working for the facility in the ABCMS system. A copy of the NC FELD manual was provided to Ms. Caldwell during the visit. 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. I encourage you to attend the following webinar – Choosing a Pathway to the Stars: • August 20 at 6:30pm (child care centers and centers located in a residence) Join webinar 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. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 20 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 245 Time In: 10:25 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Tonia Caldwell, Director. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st, 2nd, and 3rd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age children only in Space 7. 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 and activities with their teachers and in centers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/06/2025. A fire drill was recorded 8/01/2025. The most recent lockdown and shelter-in-place drills for the facility were recorded 6/01/25. The most recent fire inspection was on 10/02/2024. I observed a sanitation inspection was last conducted on 3/20/2025 earning a Superior classification. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not observed in the refrigerator in the kitchen which stores children's food. 15A NCAC 18A .2806(j)(2) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 6. 15A NCAC 18A .2821(b) & (c) 823 Toxic plants were accessible to children. Poison ivy was observed growing inside the back right side and corner of the outdoor learning environment (facing away from the building). .0604(l) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping in a rocking swing; the infant was recorded on the safe sleep chart to have fallen asleep at 10:05 a.m., and the time the same infant was observed still sleeping in the swing was 10:53 a.m. 10A NCAC 09 .0606(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The applications for four children enrolled were not observed in the Ready to Go file. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan had not been updated since 3/20/2024. .0607(e) 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 receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed signed and on file for one new employee. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. .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 9/02/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. The Emergency Preparedness and Response Plan had not been updated since 3/20/2024. It is imperative for all medication and emergency documentation to be updated and current at all times to ensure medication is administered accurately and with permission and to ensure the facility’s EPR Plan is current should an unexpected emergency arise. Ms. Caldwell stated she would update the EPR Plan as soon as possible, as well as have the parent complete the medication authorization form upon arrival for pick-up today. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Caldwell during the visit: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) regarding required fence height and (l)(4) regarding required depth for sand surfacing 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) regarding allergy postings 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posted lesson plans Please monitor outdoor playhouses for wasp nests. Terminate any employees no longer working for the facility in the ABCMS system. A copy of the NC FELD manual was provided to Ms. Caldwell during the visit. 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. I encourage you to attend the following webinar – Choosing a Pathway to the Stars: • August 20 at 6:30pm (child care centers and centers located in a residence) Join webinar 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. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 29 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 08:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tonia Caldwell, Director. Your program currently operates with a 3-Star license. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. Ms. Caldwell stated she is only operating first shift care at this time. The Secretary of State website was monitored on 2/17/2025, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. 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 monitored during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The license was issued on 4/20/2018. A sanitation inspection was completed 11/04/2024 with an Approved classification. The last fire inspection was conducted on 10/02/2024. Program records and required postings were monitored. A fire drill was conducted on 2/12/2025. A lockdown and shelter-in-place drill was last documented on 1/06/2025. An outdoor inspection was documented on 2/06/2025. Staff files and children’s records were monitored per DCDEE procedures. Four new staff members were reported at the program. The files for one existing staff member and the four new staff members were monitored during the visit. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Caldwell stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. In Space 7, a current daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. In Space 7, a current activity plan was not posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. GS 110-91(6); .0605((i) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A signed safe sleep policy was not on file for one child enrolled in Space 1. 10A NCAC 09 .0606(c) 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. Three new staff members with a date of employment greater than 90 days ago did not have certification of First Aid training on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR training on file for review. .1102(d) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. The ongoing training log for one existing staff member was not current for this year. .1106(a) 1303 Application was not signed by the parent. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The application for one child enrolled in Space 1 did not contain emergency medical information or the responsible party’s choice of health care professional. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for one child enrolled in Space 1 did not contain emergency medical information. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy for this child also did not include a date of enrollment. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/04/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 7, a current activity plan and daily schedule were not posted. Ms. Caldwell posted each of these during the visit. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. Ms. Caldwell dated this cup during the visit. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting; this toy was removed from the space during the visit. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. Each of these doors was locked during the visit. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. The child's parent signed this receipt upon pick-up. The discipline policy for one child also did not include a date of enrollment; this was corrected during the visit. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard; Ms. Caldwell removed these from the outdoor environment during the visit. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age; Ms. Caldwell removed these wrappers from the space during the visit. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent; this was signed by the parent at pick-up. The application for one child enrolled in Space 1 was not signed by a parent and did not contain emergency medical information, authorization for emergency medical care, or the responsible party’s choice of health care professional; each of these items was signed/completed by the parent upon pick-up. A signed safe sleep policy was not on file for one child enrolled in Space 1; this was completed and signed by the parent upon pick-up. The file for two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. The ongoing training log for one existing staff member was not current for this year. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR/FA training on file for review. Ms. Caldwell registered each of these employees for a CPR/FA training which will be held at Smart Start of Forsyth County on 2/25/2025 from 4 p.m. – 8 p.m. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. Ms. Caldwell stated she was not aware these documents were not on file for review, with the exception of CPR/FA. She stated she had been looking for CPR/FA trainings offered for the past few weeks. It is extremely important that staff have access to or have completed all required records/training necessary to provide the safest and best quality of care for children enrolled. You may consider developing specific systems for the monitoring and/or reviewing of new staff files, due dates for trainings which require renewal, and children’s files to ensure all records remain complete and current. Also, four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. It is imperative the outdoor learning environment be a place children can explore safely. Ms. Caldwell is considering fence extenders to correct the areas of fencing which do not currently meet 48 inches, and she is also considering first mulching the leaves to rake them away from the base of the fencing. Ms. Caldwell also stated the wooden slats would be replaced as soon as possible. Consultation Provided During Visit: Please remove the children’s applications from the Ready to Go file for children who are no longer enrolled at the facility. As a reminder, L. Brevard will need to complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training prior to 10/13/2025. Also, A. Cisse is required to have 10 hours of annual on-going training. Please inflate any deflated balls on the playground. The following Child Care Rule was reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (d) (1) (Job Descriptions) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) (Health Questionnaires stored separately) NCID Contact Information: •ASSISTANCE FOR NCID Related Questions: Password; Security Questions; Creating your NCID Phone: (919-754-6000 or Toll Free 1-800-722-3946 Email: dit.incidents@its.nc.gov If you have any issues which arise regarding ABCMS, please reach out to the Criminal Background Check Unit directly for further guidance at: (919) 814-6401 North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 29 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 08:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tonia Caldwell, Director. Your program currently operates with a 3-Star license. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. Ms. Caldwell stated she is only operating first shift care at this time. The Secretary of State website was monitored on 2/17/2025, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. 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 monitored during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The license was issued on 4/20/2018. A sanitation inspection was completed 11/04/2024 with an Approved classification. The last fire inspection was conducted on 10/02/2024. Program records and required postings were monitored. A fire drill was conducted on 2/12/2025. A lockdown and shelter-in-place drill was last documented on 1/06/2025. An outdoor inspection was documented on 2/06/2025. Staff files and children’s records were monitored per DCDEE procedures. Four new staff members were reported at the program. The files for one existing staff member and the four new staff members were monitored during the visit. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Caldwell stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. In Space 7, a current daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. In Space 7, a current activity plan was not posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. GS 110-91(6); .0605((i) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A signed safe sleep policy was not on file for one child enrolled in Space 1. 10A NCAC 09 .0606(c) 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. Three new staff members with a date of employment greater than 90 days ago did not have certification of First Aid training on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR training on file for review. .1102(d) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. The ongoing training log for one existing staff member was not current for this year. .1106(a) 1303 Application was not signed by the parent. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The application for one child enrolled in Space 1 did not contain emergency medical information or the responsible party’s choice of health care professional. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for one child enrolled in Space 1 did not contain emergency medical information. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy for this child also did not include a date of enrollment. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/04/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 7, a current activity plan and daily schedule were not posted. Ms. Caldwell posted each of these during the visit. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. Ms. Caldwell dated this cup during the visit. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting; this toy was removed from the space during the visit. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. Each of these doors was locked during the visit. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. The child's parent signed this receipt upon pick-up. The discipline policy for one child also did not include a date of enrollment; this was corrected during the visit. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard; Ms. Caldwell removed these from the outdoor environment during the visit. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age; Ms. Caldwell removed these wrappers from the space during the visit. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent; this was signed by the parent at pick-up. The application for one child enrolled in Space 1 was not signed by a parent and did not contain emergency medical information, authorization for emergency medical care, or the responsible party’s choice of health care professional; each of these items was signed/completed by the parent upon pick-up. A signed safe sleep policy was not on file for one child enrolled in Space 1; this was completed and signed by the parent upon pick-up. The file for two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. The ongoing training log for one existing staff member was not current for this year. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR/FA training on file for review. Ms. Caldwell registered each of these employees for a CPR/FA training which will be held at Smart Start of Forsyth County on 2/25/2025 from 4 p.m. – 8 p.m. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. Ms. Caldwell stated she was not aware these documents were not on file for review, with the exception of CPR/FA. She stated she had been looking for CPR/FA trainings offered for the past few weeks. It is extremely important that staff have access to or have completed all required records/training necessary to provide the safest and best quality of care for children enrolled. You may consider developing specific systems for the monitoring and/or reviewing of new staff files, due dates for trainings which require renewal, and children’s files to ensure all records remain complete and current. Also, four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. It is imperative the outdoor learning environment be a place children can explore safely. Ms. Caldwell is considering fence extenders to correct the areas of fencing which do not currently meet 48 inches, and she is also considering first mulching the leaves to rake them away from the base of the fencing. Ms. Caldwell also stated the wooden slats would be replaced as soon as possible. Consultation Provided During Visit: Please remove the children’s applications from the Ready to Go file for children who are no longer enrolled at the facility. As a reminder, L. Brevard will need to complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training prior to 10/13/2025. Also, A. Cisse is required to have 10 hours of annual on-going training. Please inflate any deflated balls on the playground. The following Child Care Rule was reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (d) (1) (Job Descriptions) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) (Health Questionnaires stored separately) NCID Contact Information: •ASSISTANCE FOR NCID Related Questions: Password; Security Questions; Creating your NCID Phone: (919-754-6000 or Toll Free 1-800-722-3946 Email: dit.incidents@its.nc.gov If you have any issues which arise regarding ABCMS, please reach out to the Criminal Background Check Unit directly for further guidance at: (919) 814-6401 North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 29 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 08:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tonia Caldwell, Director. Your program currently operates with a 3-Star license. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. Ms. Caldwell stated she is only operating first shift care at this time. The Secretary of State website was monitored on 2/17/2025, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. 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 monitored during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The license was issued on 4/20/2018. A sanitation inspection was completed 11/04/2024 with an Approved classification. The last fire inspection was conducted on 10/02/2024. Program records and required postings were monitored. A fire drill was conducted on 2/12/2025. A lockdown and shelter-in-place drill was last documented on 1/06/2025. An outdoor inspection was documented on 2/06/2025. Staff files and children’s records were monitored per DCDEE procedures. Four new staff members were reported at the program. The files for one existing staff member and the four new staff members were monitored during the visit. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Caldwell stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. In Space 7, a current daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. In Space 7, a current activity plan was not posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. GS 110-91(6); .0605((i) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A signed safe sleep policy was not on file for one child enrolled in Space 1. 10A NCAC 09 .0606(c) 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. Three new staff members with a date of employment greater than 90 days ago did not have certification of First Aid training on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR training on file for review. .1102(d) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. The ongoing training log for one existing staff member was not current for this year. .1106(a) 1303 Application was not signed by the parent. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The application for one child enrolled in Space 1 did not contain emergency medical information or the responsible party’s choice of health care professional. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for one child enrolled in Space 1 did not contain emergency medical information. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy for this child also did not include a date of enrollment. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/04/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 7, a current activity plan and daily schedule were not posted. Ms. Caldwell posted each of these during the visit. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. Ms. Caldwell dated this cup during the visit. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting; this toy was removed from the space during the visit. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. Each of these doors was locked during the visit. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. The child's parent signed this receipt upon pick-up. The discipline policy for one child also did not include a date of enrollment; this was corrected during the visit. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard; Ms. Caldwell removed these from the outdoor environment during the visit. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age; Ms. Caldwell removed these wrappers from the space during the visit. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent; this was signed by the parent at pick-up. The application for one child enrolled in Space 1 was not signed by a parent and did not contain emergency medical information, authorization for emergency medical care, or the responsible party’s choice of health care professional; each of these items was signed/completed by the parent upon pick-up. A signed safe sleep policy was not on file for one child enrolled in Space 1; this was completed and signed by the parent upon pick-up. The file for two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. The ongoing training log for one existing staff member was not current for this year. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR/FA training on file for review. Ms. Caldwell registered each of these employees for a CPR/FA training which will be held at Smart Start of Forsyth County on 2/25/2025 from 4 p.m. – 8 p.m. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. Ms. Caldwell stated she was not aware these documents were not on file for review, with the exception of CPR/FA. She stated she had been looking for CPR/FA trainings offered for the past few weeks. It is extremely important that staff have access to or have completed all required records/training necessary to provide the safest and best quality of care for children enrolled. You may consider developing specific systems for the monitoring and/or reviewing of new staff files, due dates for trainings which require renewal, and children’s files to ensure all records remain complete and current. Also, four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. It is imperative the outdoor learning environment be a place children can explore safely. Ms. Caldwell is considering fence extenders to correct the areas of fencing which do not currently meet 48 inches, and she is also considering first mulching the leaves to rake them away from the base of the fencing. Ms. Caldwell also stated the wooden slats would be replaced as soon as possible. Consultation Provided During Visit: Please remove the children’s applications from the Ready to Go file for children who are no longer enrolled at the facility. As a reminder, L. Brevard will need to complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training prior to 10/13/2025. Also, A. Cisse is required to have 10 hours of annual on-going training. Please inflate any deflated balls on the playground. The following Child Care Rule was reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (d) (1) (Job Descriptions) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) (Health Questionnaires stored separately) NCID Contact Information: •ASSISTANCE FOR NCID Related Questions: Password; Security Questions; Creating your NCID Phone: (919-754-6000 or Toll Free 1-800-722-3946 Email: dit.incidents@its.nc.gov If you have any issues which arise regarding ABCMS, please reach out to the Criminal Background Check Unit directly for further guidance at: (919) 814-6401 North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 29 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 08:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tonia Caldwell, Director. Your program currently operates with a 3-Star license. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. Ms. Caldwell stated she is only operating first shift care at this time. The Secretary of State website was monitored on 2/17/2025, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. 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 monitored during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The license was issued on 4/20/2018. A sanitation inspection was completed 11/04/2024 with an Approved classification. The last fire inspection was conducted on 10/02/2024. Program records and required postings were monitored. A fire drill was conducted on 2/12/2025. A lockdown and shelter-in-place drill was last documented on 1/06/2025. An outdoor inspection was documented on 2/06/2025. Staff files and children’s records were monitored per DCDEE procedures. Four new staff members were reported at the program. The files for one existing staff member and the four new staff members were monitored during the visit. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Caldwell stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. In Space 7, a current daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. In Space 7, a current activity plan was not posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. GS 110-91(6); .0605((i) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A signed safe sleep policy was not on file for one child enrolled in Space 1. 10A NCAC 09 .0606(c) 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. Three new staff members with a date of employment greater than 90 days ago did not have certification of First Aid training on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR training on file for review. .1102(d) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. The ongoing training log for one existing staff member was not current for this year. .1106(a) 1303 Application was not signed by the parent. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The application for one child enrolled in Space 1 did not contain emergency medical information or the responsible party’s choice of health care professional. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for one child enrolled in Space 1 did not contain emergency medical information. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy for this child also did not include a date of enrollment. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/04/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 7, a current activity plan and daily schedule were not posted. Ms. Caldwell posted each of these during the visit. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. Ms. Caldwell dated this cup during the visit. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting; this toy was removed from the space during the visit. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. Each of these doors was locked during the visit. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. The child's parent signed this receipt upon pick-up. The discipline policy for one child also did not include a date of enrollment; this was corrected during the visit. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard; Ms. Caldwell removed these from the outdoor environment during the visit. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age; Ms. Caldwell removed these wrappers from the space during the visit. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent; this was signed by the parent at pick-up. The application for one child enrolled in Space 1 was not signed by a parent and did not contain emergency medical information, authorization for emergency medical care, or the responsible party’s choice of health care professional; each of these items was signed/completed by the parent upon pick-up. A signed safe sleep policy was not on file for one child enrolled in Space 1; this was completed and signed by the parent upon pick-up. The file for two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. The ongoing training log for one existing staff member was not current for this year. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR/FA training on file for review. Ms. Caldwell registered each of these employees for a CPR/FA training which will be held at Smart Start of Forsyth County on 2/25/2025 from 4 p.m. – 8 p.m. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. Ms. Caldwell stated she was not aware these documents were not on file for review, with the exception of CPR/FA. She stated she had been looking for CPR/FA trainings offered for the past few weeks. It is extremely important that staff have access to or have completed all required records/training necessary to provide the safest and best quality of care for children enrolled. You may consider developing specific systems for the monitoring and/or reviewing of new staff files, due dates for trainings which require renewal, and children’s files to ensure all records remain complete and current. Also, four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. It is imperative the outdoor learning environment be a place children can explore safely. Ms. Caldwell is considering fence extenders to correct the areas of fencing which do not currently meet 48 inches, and she is also considering first mulching the leaves to rake them away from the base of the fencing. Ms. Caldwell also stated the wooden slats would be replaced as soon as possible. Consultation Provided During Visit: Please remove the children’s applications from the Ready to Go file for children who are no longer enrolled at the facility. As a reminder, L. Brevard will need to complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training prior to 10/13/2025. Also, A. Cisse is required to have 10 hours of annual on-going training. Please inflate any deflated balls on the playground. The following Child Care Rule was reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (d) (1) (Job Descriptions) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) (Health Questionnaires stored separately) NCID Contact Information: •ASSISTANCE FOR NCID Related Questions: Password; Security Questions; Creating your NCID Phone: (919-754-6000 or Toll Free 1-800-722-3946 Email: dit.incidents@its.nc.gov If you have any issues which arise regarding ABCMS, please reach out to the Criminal Background Check Unit directly for further guidance at: (919) 814-6401 North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 29 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 08:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tonia Caldwell, Director. Your program currently operates with a 3-Star license. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. Ms. Caldwell stated she is only operating first shift care at this time. The Secretary of State website was monitored on 2/17/2025, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. 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 monitored during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The license was issued on 4/20/2018. A sanitation inspection was completed 11/04/2024 with an Approved classification. The last fire inspection was conducted on 10/02/2024. Program records and required postings were monitored. A fire drill was conducted on 2/12/2025. A lockdown and shelter-in-place drill was last documented on 1/06/2025. An outdoor inspection was documented on 2/06/2025. Staff files and children’s records were monitored per DCDEE procedures. Four new staff members were reported at the program. The files for one existing staff member and the four new staff members were monitored during the visit. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Caldwell stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. In Space 7, a current daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. In Space 7, a current activity plan was not posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. GS 110-91(6); .0605((i) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A signed safe sleep policy was not on file for one child enrolled in Space 1. 10A NCAC 09 .0606(c) 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. Three new staff members with a date of employment greater than 90 days ago did not have certification of First Aid training on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR training on file for review. .1102(d) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. The ongoing training log for one existing staff member was not current for this year. .1106(a) 1303 Application was not signed by the parent. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The application for one child enrolled in Space 1 did not contain emergency medical information or the responsible party’s choice of health care professional. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for one child enrolled in Space 1 did not contain emergency medical information. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy for this child also did not include a date of enrollment. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/04/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 7, a current activity plan and daily schedule were not posted. Ms. Caldwell posted each of these during the visit. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. Ms. Caldwell dated this cup during the visit. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting; this toy was removed from the space during the visit. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. Each of these doors was locked during the visit. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. The child's parent signed this receipt upon pick-up. The discipline policy for one child also did not include a date of enrollment; this was corrected during the visit. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard; Ms. Caldwell removed these from the outdoor environment during the visit. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age; Ms. Caldwell removed these wrappers from the space during the visit. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent; this was signed by the parent at pick-up. The application for one child enrolled in Space 1 was not signed by a parent and did not contain emergency medical information, authorization for emergency medical care, or the responsible party’s choice of health care professional; each of these items was signed/completed by the parent upon pick-up. A signed safe sleep policy was not on file for one child enrolled in Space 1; this was completed and signed by the parent upon pick-up. The file for two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. The ongoing training log for one existing staff member was not current for this year. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR/FA training on file for review. Ms. Caldwell registered each of these employees for a CPR/FA training which will be held at Smart Start of Forsyth County on 2/25/2025 from 4 p.m. – 8 p.m. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. Ms. Caldwell stated she was not aware these documents were not on file for review, with the exception of CPR/FA. She stated she had been looking for CPR/FA trainings offered for the past few weeks. It is extremely important that staff have access to or have completed all required records/training necessary to provide the safest and best quality of care for children enrolled. You may consider developing specific systems for the monitoring and/or reviewing of new staff files, due dates for trainings which require renewal, and children’s files to ensure all records remain complete and current. Also, four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. It is imperative the outdoor learning environment be a place children can explore safely. Ms. Caldwell is considering fence extenders to correct the areas of fencing which do not currently meet 48 inches, and she is also considering first mulching the leaves to rake them away from the base of the fencing. Ms. Caldwell also stated the wooden slats would be replaced as soon as possible. Consultation Provided During Visit: Please remove the children’s applications from the Ready to Go file for children who are no longer enrolled at the facility. As a reminder, L. Brevard will need to complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training prior to 10/13/2025. Also, A. Cisse is required to have 10 hours of annual on-going training. Please inflate any deflated balls on the playground. The following Child Care Rule was reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (d) (1) (Job Descriptions) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) (Health Questionnaires stored separately) NCID Contact Information: •ASSISTANCE FOR NCID Related Questions: Password; Security Questions; Creating your NCID Phone: (919-754-6000 or Toll Free 1-800-722-3946 Email: dit.incidents@its.nc.gov If you have any issues which arise regarding ABCMS, please reach out to the Criminal Background Check Unit directly for further guidance at: (919) 814-6401 North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 29 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 08:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tonia Caldwell, Director. Your program currently operates with a 3-Star license. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. Ms. Caldwell stated she is only operating first shift care at this time. The Secretary of State website was monitored on 2/17/2025, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. 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 monitored during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The license was issued on 4/20/2018. A sanitation inspection was completed 11/04/2024 with an Approved classification. The last fire inspection was conducted on 10/02/2024. Program records and required postings were monitored. A fire drill was conducted on 2/12/2025. A lockdown and shelter-in-place drill was last documented on 1/06/2025. An outdoor inspection was documented on 2/06/2025. Staff files and children’s records were monitored per DCDEE procedures. Four new staff members were reported at the program. The files for one existing staff member and the four new staff members were monitored during the visit. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Caldwell stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. In Space 7, a current daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. In Space 7, a current activity plan was not posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. GS 110-91(6); .0605((i) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A signed safe sleep policy was not on file for one child enrolled in Space 1. 10A NCAC 09 .0606(c) 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. Three new staff members with a date of employment greater than 90 days ago did not have certification of First Aid training on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR training on file for review. .1102(d) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. The ongoing training log for one existing staff member was not current for this year. .1106(a) 1303 Application was not signed by the parent. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The application for one child enrolled in Space 1 did not contain emergency medical information or the responsible party’s choice of health care professional. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for one child enrolled in Space 1 did not contain emergency medical information. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy for this child also did not include a date of enrollment. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/04/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 7, a current activity plan and daily schedule were not posted. Ms. Caldwell posted each of these during the visit. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. Ms. Caldwell dated this cup during the visit. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting; this toy was removed from the space during the visit. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. Each of these doors was locked during the visit. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. The child's parent signed this receipt upon pick-up. The discipline policy for one child also did not include a date of enrollment; this was corrected during the visit. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard; Ms. Caldwell removed these from the outdoor environment during the visit. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age; Ms. Caldwell removed these wrappers from the space during the visit. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent; this was signed by the parent at pick-up. The application for one child enrolled in Space 1 was not signed by a parent and did not contain emergency medical information, authorization for emergency medical care, or the responsible party’s choice of health care professional; each of these items was signed/completed by the parent upon pick-up. A signed safe sleep policy was not on file for one child enrolled in Space 1; this was completed and signed by the parent upon pick-up. The file for two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. The ongoing training log for one existing staff member was not current for this year. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR/FA training on file for review. Ms. Caldwell registered each of these employees for a CPR/FA training which will be held at Smart Start of Forsyth County on 2/25/2025 from 4 p.m. – 8 p.m. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. Ms. Caldwell stated she was not aware these documents were not on file for review, with the exception of CPR/FA. She stated she had been looking for CPR/FA trainings offered for the past few weeks. It is extremely important that staff have access to or have completed all required records/training necessary to provide the safest and best quality of care for children enrolled. You may consider developing specific systems for the monitoring and/or reviewing of new staff files, due dates for trainings which require renewal, and children’s files to ensure all records remain complete and current. Also, four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. It is imperative the outdoor learning environment be a place children can explore safely. Ms. Caldwell is considering fence extenders to correct the areas of fencing which do not currently meet 48 inches, and she is also considering first mulching the leaves to rake them away from the base of the fencing. Ms. Caldwell also stated the wooden slats would be replaced as soon as possible. Consultation Provided During Visit: Please remove the children’s applications from the Ready to Go file for children who are no longer enrolled at the facility. As a reminder, L. Brevard will need to complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training prior to 10/13/2025. Also, A. Cisse is required to have 10 hours of annual on-going training. Please inflate any deflated balls on the playground. The following Child Care Rule was reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (d) (1) (Job Descriptions) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) (Health Questionnaires stored separately) NCID Contact Information: •ASSISTANCE FOR NCID Related Questions: Password; Security Questions; Creating your NCID Phone: (919-754-6000 or Toll Free 1-800-722-3946 Email: dit.incidents@its.nc.gov If you have any issues which arise regarding ABCMS, please reach out to the Criminal Background Check Unit directly for further guidance at: (919) 814-6401 North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 29 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 08:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tonia Caldwell, Director. Your program currently operates with a 3-Star license. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. Ms. Caldwell stated she is only operating first shift care at this time. The Secretary of State website was monitored on 2/17/2025, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. 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 monitored during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The license was issued on 4/20/2018. A sanitation inspection was completed 11/04/2024 with an Approved classification. The last fire inspection was conducted on 10/02/2024. Program records and required postings were monitored. A fire drill was conducted on 2/12/2025. A lockdown and shelter-in-place drill was last documented on 1/06/2025. An outdoor inspection was documented on 2/06/2025. Staff files and children’s records were monitored per DCDEE procedures. Four new staff members were reported at the program. The files for one existing staff member and the four new staff members were monitored during the visit. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Caldwell stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. In Space 7, a current daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. In Space 7, a current activity plan was not posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. GS 110-91(6); .0605((i) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A signed safe sleep policy was not on file for one child enrolled in Space 1. 10A NCAC 09 .0606(c) 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. Three new staff members with a date of employment greater than 90 days ago did not have certification of First Aid training on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR training on file for review. .1102(d) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. The ongoing training log for one existing staff member was not current for this year. .1106(a) 1303 Application was not signed by the parent. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The application for one child enrolled in Space 1 did not contain emergency medical information or the responsible party’s choice of health care professional. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for one child enrolled in Space 1 did not contain emergency medical information. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy for this child also did not include a date of enrollment. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/04/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 7, a current activity plan and daily schedule were not posted. Ms. Caldwell posted each of these during the visit. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. Ms. Caldwell dated this cup during the visit. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting; this toy was removed from the space during the visit. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. Each of these doors was locked during the visit. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. The child's parent signed this receipt upon pick-up. The discipline policy for one child also did not include a date of enrollment; this was corrected during the visit. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard; Ms. Caldwell removed these from the outdoor environment during the visit. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age; Ms. Caldwell removed these wrappers from the space during the visit. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent; this was signed by the parent at pick-up. The application for one child enrolled in Space 1 was not signed by a parent and did not contain emergency medical information, authorization for emergency medical care, or the responsible party’s choice of health care professional; each of these items was signed/completed by the parent upon pick-up. A signed safe sleep policy was not on file for one child enrolled in Space 1; this was completed and signed by the parent upon pick-up. The file for two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. The ongoing training log for one existing staff member was not current for this year. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR/FA training on file for review. Ms. Caldwell registered each of these employees for a CPR/FA training which will be held at Smart Start of Forsyth County on 2/25/2025 from 4 p.m. – 8 p.m. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. Ms. Caldwell stated she was not aware these documents were not on file for review, with the exception of CPR/FA. She stated she had been looking for CPR/FA trainings offered for the past few weeks. It is extremely important that staff have access to or have completed all required records/training necessary to provide the safest and best quality of care for children enrolled. You may consider developing specific systems for the monitoring and/or reviewing of new staff files, due dates for trainings which require renewal, and children’s files to ensure all records remain complete and current. Also, four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. It is imperative the outdoor learning environment be a place children can explore safely. Ms. Caldwell is considering fence extenders to correct the areas of fencing which do not currently meet 48 inches, and she is also considering first mulching the leaves to rake them away from the base of the fencing. Ms. Caldwell also stated the wooden slats would be replaced as soon as possible. Consultation Provided During Visit: Please remove the children’s applications from the Ready to Go file for children who are no longer enrolled at the facility. As a reminder, L. Brevard will need to complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training prior to 10/13/2025. Also, A. Cisse is required to have 10 hours of annual on-going training. Please inflate any deflated balls on the playground. The following Child Care Rule was reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (d) (1) (Job Descriptions) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) (Health Questionnaires stored separately) NCID Contact Information: •ASSISTANCE FOR NCID Related Questions: Password; Security Questions; Creating your NCID Phone: (919-754-6000 or Toll Free 1-800-722-3946 Email: dit.incidents@its.nc.gov If you have any issues which arise regarding ABCMS, please reach out to the Criminal Background Check Unit directly for further guidance at: (919) 814-6401 North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 29 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 08:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tonia Caldwell, Director. Your program currently operates with a 3-Star license. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children under 2 ½ years old in rooms with direct exits only, and School Age Children Only in Space 7. Ms. Caldwell stated she is only operating first shift care at this time. The Secretary of State website was monitored on 2/17/2025, and The Bunny Stop Pre-School, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. 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 monitored during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The license was issued on 4/20/2018. A sanitation inspection was completed 11/04/2024 with an Approved classification. The last fire inspection was conducted on 10/02/2024. Program records and required postings were monitored. A fire drill was conducted on 2/12/2025. A lockdown and shelter-in-place drill was last documented on 1/06/2025. An outdoor inspection was documented on 2/06/2025. Staff files and children’s records were monitored per DCDEE procedures. Four new staff members were reported at the program. The files for one existing staff member and the four new staff members were monitored during the visit. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Caldwell stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. In Space 7, a current daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. In Space 7, a current activity plan was not posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. .0902(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. GS 110-91(6); .0605((i) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. A signed safe sleep policy was not on file for one child enrolled in Space 1. 10A NCAC 09 .0606(c) 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. Three new staff members with a date of employment greater than 90 days ago did not have certification of First Aid training on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR training on file for review. .1102(d) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. The ongoing training log for one existing staff member was not current for this year. .1106(a) 1303 Application was not signed by the parent. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The application for one child enrolled in Space 1 did not contain emergency medical information or the responsible party’s choice of health care professional. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for one child enrolled in Space 1 did not contain emergency medical information. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy for this child also did not include a date of enrollment. .1804(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/04/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 7, a current activity plan and daily schedule were not posted. Ms. Caldwell posted each of these during the visit. In Space 2, a space designated for children one year of age, a cup of milk for one child enrolled was labeled with the child’s name, but not dated. Ms. Caldwell dated this cup during the visit. In Space 1, a metal jack-in-the-box was observed to be cracked and rusting; this toy was removed from the space during the visit. In Space 6, the doors to two closets were unlocked and observed to contain mechanical equipment, cords, etc. Each of these doors was locked during the visit. The file for one child enrolled in Space 5 did not contain signed documentation of receipt of NC Child Care Law. The child's parent signed this receipt upon pick-up. The discipline policy for one child also did not include a date of enrollment; this was corrected during the visit. On the playground used by children of all ages, two plastic mats were observed to be peeling, presenting a potential choking hazard; Ms. Caldwell removed these from the outdoor environment during the visit. In Space 5, two plastic wrappers were observed on a materials shelf less than five feet from the ground and accessible to children two years of age; Ms. Caldwell removed these wrappers from the space during the visit. In Space 1, the infant feeding plan for one child enrolled was not signed by a parent; this was signed by the parent at pick-up. The application for one child enrolled in Space 1 was not signed by a parent and did not contain emergency medical information, authorization for emergency medical care, or the responsible party’s choice of health care professional; each of these items was signed/completed by the parent upon pick-up. A signed safe sleep policy was not on file for one child enrolled in Space 1; this was completed and signed by the parent upon pick-up. The file for two children enrolled did not contain a signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy; one parent signed this information upon pick-up. The ongoing training log for one existing staff member was not current for this year. Three new staff members with a date of employment greater than 90 days ago did not have certification of CPR/FA training on file for review. Ms. Caldwell registered each of these employees for a CPR/FA training which will be held at Smart Start of Forsyth County on 2/25/2025 from 4 p.m. – 8 p.m. One new staff member with an employment date of 8/26/2024 did not complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training until 1/08/2025. Ms. Caldwell stated she was not aware these documents were not on file for review, with the exception of CPR/FA. She stated she had been looking for CPR/FA trainings offered for the past few weeks. It is extremely important that staff have access to or have completed all required records/training necessary to provide the safest and best quality of care for children enrolled. You may consider developing specific systems for the monitoring and/or reviewing of new staff files, due dates for trainings which require renewal, and children’s files to ensure all records remain complete and current. Also, four gaps between the wooden slats (due to missing slats) of the porch and stair rails leading to the playground were observed, three of which measured five inches in width, and one of which measured 7 ½ inches, which present potential entrapment hazards. The playground fencing along the right side (facing away from the building) and the back of the playground measured between 43 and 45 inches in height at five different points. It is imperative the outdoor learning environment be a place children can explore safely. Ms. Caldwell is considering fence extenders to correct the areas of fencing which do not currently meet 48 inches, and she is also considering first mulching the leaves to rake them away from the base of the fencing. Ms. Caldwell also stated the wooden slats would be replaced as soon as possible. Consultation Provided During Visit: Please remove the children’s applications from the Ready to Go file for children who are no longer enrolled at the facility. As a reminder, L. Brevard will need to complete Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training prior to 10/13/2025. Also, A. Cisse is required to have 10 hours of annual on-going training. Please inflate any deflated balls on the playground. The following Child Care Rule was reviewed with Ms. Caldwell during the visit: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (d) (1) (Job Descriptions) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) (Health Questionnaires stored separately) NCID Contact Information: •ASSISTANCE FOR NCID Related Questions: Password; Security Questions; Creating your NCID Phone: (919-754-6000 or Toll Free 1-800-722-3946 Email: dit.incidents@its.nc.gov If you have any issues which arise regarding ABCMS, please reach out to the Criminal Background Check Unit directly for further guidance at: (919) 814-6401 North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 40 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Childcare Consultants with Tonia Caldwell, Director, and Elaine Oakes, Owner. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children 2 and a half years of age cared for in rooms with direct exits only, and School Age children only in Space 7. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with their teachers, participating in general routines, eating lunch, and napping during the visit. Five new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, and Special Trainings including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 9/03/2024. A fire drill was recorded 9/02/2024. A lockdown and shelter-in-place drill for the facility was recorded 8/01/2024. The most recent fire inspection was on 8/03/2023. I observed a sanitation inspection was last conducted on 11/03/2023 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time; the program also does not provider transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection had not been completed since 8/03/2023. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 2, a space designated for children one year of age, a thermometer was not observed to be located in the refrigerator containing milk and other drinks for children in care. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee. G.S. 110-90.2(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency contact information for one new staff member was not observed in the Ready to Go file. .0607(d)(10) An unannounced follow-up visit will be conducted to monitor compliance with requirements regarding Criminal Background Checks. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). Safety covers were placed in each outlet missing a cover during the visit. The emergency contact information for one new staff member was not observed in the Ready to Go file. It is important for this information to be on file in the event of a necessary emergency evacuation. You may consider adding this information to the Ready to Go file as a note on the Staff File Checklist, when hiring a new staff member. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee, M. Keaton. Ms. Keaton was observed to be a part of the classroom staff/child ratio with another staff member in Space 1, a room designated for infants. Ms. Caldwell stated this was the employee’s first day of employment, and the employee is in training. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Ms. Keaton stated she was scheduled to have her fingerprints completed at the sheriff’s department this afternoon. I stated to Ms. Keaton and Ms. Caldwell Ms. Keaton would be unable to work until a valid CBC qualification letter is on file for review. Ms. Keaton left the facility immediately following this conversation. A fire inspection had not been completed since 8/03/2023. Ms. Oakes stated she had not realized the fire inspection was overdue and that she would call the fire inspector as soon as she was able. It is important for all required inspections to be current at all times to ensure the safety of children enrolled. You may consider placing this inspection date on your calendar or set an email reminder approximately two months before the inspection is due, as a reminder to request the inspection ahead of time. Please also be reminded a copy of the fire inspection must be sent your child care consultant within one week of the inspection date. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. It is imperative the outdoor learning environment be a safe place for children to explore and play. Ms. Oakes stated she was unaware these were issues indoors or outdoors. You must submit a plan for addressing the recurring issue of holly berries, which are toxic to children, being accessible to children on the playground. You may consider adding each of these items to your monthly playground inspection for consistent monitoring. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Oakes during the visit: • Health Questionnaires are not required to be in the Ready to Go file; only emergency information for children and staff members is required. • Consider recording on the Safe Sleep log that a child did not nap, if a child is present, but did not sleep that day. • Please review all posted Classroom Staff to Child Ratio worksheets to ensure “Voluntary Enhanced Ratios” are checked on each worksheet. • The following Child Care Rules were discussed with Ms. Oakes during the visit: o 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) (7) (10) o 10A NCAC 09 .1706 NUTRITION STANDARDS (r ) • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was 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 .0604 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 40 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Childcare Consultants with Tonia Caldwell, Director, and Elaine Oakes, Owner. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children 2 and a half years of age cared for in rooms with direct exits only, and School Age children only in Space 7. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with their teachers, participating in general routines, eating lunch, and napping during the visit. Five new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, and Special Trainings including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 9/03/2024. A fire drill was recorded 9/02/2024. A lockdown and shelter-in-place drill for the facility was recorded 8/01/2024. The most recent fire inspection was on 8/03/2023. I observed a sanitation inspection was last conducted on 11/03/2023 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time; the program also does not provider transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection had not been completed since 8/03/2023. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 2, a space designated for children one year of age, a thermometer was not observed to be located in the refrigerator containing milk and other drinks for children in care. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee. G.S. 110-90.2(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency contact information for one new staff member was not observed in the Ready to Go file. .0607(d)(10) An unannounced follow-up visit will be conducted to monitor compliance with requirements regarding Criminal Background Checks. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). Safety covers were placed in each outlet missing a cover during the visit. The emergency contact information for one new staff member was not observed in the Ready to Go file. It is important for this information to be on file in the event of a necessary emergency evacuation. You may consider adding this information to the Ready to Go file as a note on the Staff File Checklist, when hiring a new staff member. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee, M. Keaton. Ms. Keaton was observed to be a part of the classroom staff/child ratio with another staff member in Space 1, a room designated for infants. Ms. Caldwell stated this was the employee’s first day of employment, and the employee is in training. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Ms. Keaton stated she was scheduled to have her fingerprints completed at the sheriff’s department this afternoon. I stated to Ms. Keaton and Ms. Caldwell Ms. Keaton would be unable to work until a valid CBC qualification letter is on file for review. Ms. Keaton left the facility immediately following this conversation. A fire inspection had not been completed since 8/03/2023. Ms. Oakes stated she had not realized the fire inspection was overdue and that she would call the fire inspector as soon as she was able. It is important for all required inspections to be current at all times to ensure the safety of children enrolled. You may consider placing this inspection date on your calendar or set an email reminder approximately two months before the inspection is due, as a reminder to request the inspection ahead of time. Please also be reminded a copy of the fire inspection must be sent your child care consultant within one week of the inspection date. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. It is imperative the outdoor learning environment be a safe place for children to explore and play. Ms. Oakes stated she was unaware these were issues indoors or outdoors. You must submit a plan for addressing the recurring issue of holly berries, which are toxic to children, being accessible to children on the playground. You may consider adding each of these items to your monthly playground inspection for consistent monitoring. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Oakes during the visit: • Health Questionnaires are not required to be in the Ready to Go file; only emergency information for children and staff members is required. • Consider recording on the Safe Sleep log that a child did not nap, if a child is present, but did not sleep that day. • Please review all posted Classroom Staff to Child Ratio worksheets to ensure “Voluntary Enhanced Ratios” are checked on each worksheet. • The following Child Care Rules were discussed with Ms. Oakes during the visit: o 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) (7) (10) o 10A NCAC 09 .1706 NUTRITION STANDARDS (r ) • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was 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 .0304 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 40 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Childcare Consultants with Tonia Caldwell, Director, and Elaine Oakes, Owner. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children 2 and a half years of age cared for in rooms with direct exits only, and School Age children only in Space 7. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with their teachers, participating in general routines, eating lunch, and napping during the visit. Five new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, and Special Trainings including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 9/03/2024. A fire drill was recorded 9/02/2024. A lockdown and shelter-in-place drill for the facility was recorded 8/01/2024. The most recent fire inspection was on 8/03/2023. I observed a sanitation inspection was last conducted on 11/03/2023 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time; the program also does not provider transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection had not been completed since 8/03/2023. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 2, a space designated for children one year of age, a thermometer was not observed to be located in the refrigerator containing milk and other drinks for children in care. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee. G.S. 110-90.2(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency contact information for one new staff member was not observed in the Ready to Go file. .0607(d)(10) An unannounced follow-up visit will be conducted to monitor compliance with requirements regarding Criminal Background Checks. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). Safety covers were placed in each outlet missing a cover during the visit. The emergency contact information for one new staff member was not observed in the Ready to Go file. It is important for this information to be on file in the event of a necessary emergency evacuation. You may consider adding this information to the Ready to Go file as a note on the Staff File Checklist, when hiring a new staff member. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee, M. Keaton. Ms. Keaton was observed to be a part of the classroom staff/child ratio with another staff member in Space 1, a room designated for infants. Ms. Caldwell stated this was the employee’s first day of employment, and the employee is in training. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Ms. Keaton stated she was scheduled to have her fingerprints completed at the sheriff’s department this afternoon. I stated to Ms. Keaton and Ms. Caldwell Ms. Keaton would be unable to work until a valid CBC qualification letter is on file for review. Ms. Keaton left the facility immediately following this conversation. A fire inspection had not been completed since 8/03/2023. Ms. Oakes stated she had not realized the fire inspection was overdue and that she would call the fire inspector as soon as she was able. It is important for all required inspections to be current at all times to ensure the safety of children enrolled. You may consider placing this inspection date on your calendar or set an email reminder approximately two months before the inspection is due, as a reminder to request the inspection ahead of time. Please also be reminded a copy of the fire inspection must be sent your child care consultant within one week of the inspection date. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. It is imperative the outdoor learning environment be a safe place for children to explore and play. Ms. Oakes stated she was unaware these were issues indoors or outdoors. You must submit a plan for addressing the recurring issue of holly berries, which are toxic to children, being accessible to children on the playground. You may consider adding each of these items to your monthly playground inspection for consistent monitoring. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Oakes during the visit: • Health Questionnaires are not required to be in the Ready to Go file; only emergency information for children and staff members is required. • Consider recording on the Safe Sleep log that a child did not nap, if a child is present, but did not sleep that day. • Please review all posted Classroom Staff to Child Ratio worksheets to ensure “Voluntary Enhanced Ratios” are checked on each worksheet. • The following Child Care Rules were discussed with Ms. Oakes during the visit: o 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) (7) (10) o 10A NCAC 09 .1706 NUTRITION STANDARDS (r ) • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 40 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Childcare Consultants with Tonia Caldwell, Director, and Elaine Oakes, Owner. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children 2 and a half years of age cared for in rooms with direct exits only, and School Age children only in Space 7. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with their teachers, participating in general routines, eating lunch, and napping during the visit. Five new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, and Special Trainings including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 9/03/2024. A fire drill was recorded 9/02/2024. A lockdown and shelter-in-place drill for the facility was recorded 8/01/2024. The most recent fire inspection was on 8/03/2023. I observed a sanitation inspection was last conducted on 11/03/2023 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time; the program also does not provider transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection had not been completed since 8/03/2023. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 2, a space designated for children one year of age, a thermometer was not observed to be located in the refrigerator containing milk and other drinks for children in care. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee. G.S. 110-90.2(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency contact information for one new staff member was not observed in the Ready to Go file. .0607(d)(10) An unannounced follow-up visit will be conducted to monitor compliance with requirements regarding Criminal Background Checks. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). Safety covers were placed in each outlet missing a cover during the visit. The emergency contact information for one new staff member was not observed in the Ready to Go file. It is important for this information to be on file in the event of a necessary emergency evacuation. You may consider adding this information to the Ready to Go file as a note on the Staff File Checklist, when hiring a new staff member. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee, M. Keaton. Ms. Keaton was observed to be a part of the classroom staff/child ratio with another staff member in Space 1, a room designated for infants. Ms. Caldwell stated this was the employee’s first day of employment, and the employee is in training. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Ms. Keaton stated she was scheduled to have her fingerprints completed at the sheriff’s department this afternoon. I stated to Ms. Keaton and Ms. Caldwell Ms. Keaton would be unable to work until a valid CBC qualification letter is on file for review. Ms. Keaton left the facility immediately following this conversation. A fire inspection had not been completed since 8/03/2023. Ms. Oakes stated she had not realized the fire inspection was overdue and that she would call the fire inspector as soon as she was able. It is important for all required inspections to be current at all times to ensure the safety of children enrolled. You may consider placing this inspection date on your calendar or set an email reminder approximately two months before the inspection is due, as a reminder to request the inspection ahead of time. Please also be reminded a copy of the fire inspection must be sent your child care consultant within one week of the inspection date. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. It is imperative the outdoor learning environment be a safe place for children to explore and play. Ms. Oakes stated she was unaware these were issues indoors or outdoors. You must submit a plan for addressing the recurring issue of holly berries, which are toxic to children, being accessible to children on the playground. You may consider adding each of these items to your monthly playground inspection for consistent monitoring. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Oakes during the visit: • Health Questionnaires are not required to be in the Ready to Go file; only emergency information for children and staff members is required. • Consider recording on the Safe Sleep log that a child did not nap, if a child is present, but did not sleep that day. • Please review all posted Classroom Staff to Child Ratio worksheets to ensure “Voluntary Enhanced Ratios” are checked on each worksheet. • The following Child Care Rules were discussed with Ms. Oakes during the visit: o 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) (7) (10) o 10A NCAC 09 .1706 NUTRITION STANDARDS (r ) • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was 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 .1706 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 40 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Childcare Consultants with Tonia Caldwell, Director, and Elaine Oakes, Owner. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children 2 and a half years of age cared for in rooms with direct exits only, and School Age children only in Space 7. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with their teachers, participating in general routines, eating lunch, and napping during the visit. Five new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, and Special Trainings including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 9/03/2024. A fire drill was recorded 9/02/2024. A lockdown and shelter-in-place drill for the facility was recorded 8/01/2024. The most recent fire inspection was on 8/03/2023. I observed a sanitation inspection was last conducted on 11/03/2023 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time; the program also does not provider transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection had not been completed since 8/03/2023. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 2, a space designated for children one year of age, a thermometer was not observed to be located in the refrigerator containing milk and other drinks for children in care. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee. G.S. 110-90.2(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency contact information for one new staff member was not observed in the Ready to Go file. .0607(d)(10) An unannounced follow-up visit will be conducted to monitor compliance with requirements regarding Criminal Background Checks. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). Safety covers were placed in each outlet missing a cover during the visit. The emergency contact information for one new staff member was not observed in the Ready to Go file. It is important for this information to be on file in the event of a necessary emergency evacuation. You may consider adding this information to the Ready to Go file as a note on the Staff File Checklist, when hiring a new staff member. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee, M. Keaton. Ms. Keaton was observed to be a part of the classroom staff/child ratio with another staff member in Space 1, a room designated for infants. Ms. Caldwell stated this was the employee’s first day of employment, and the employee is in training. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Ms. Keaton stated she was scheduled to have her fingerprints completed at the sheriff’s department this afternoon. I stated to Ms. Keaton and Ms. Caldwell Ms. Keaton would be unable to work until a valid CBC qualification letter is on file for review. Ms. Keaton left the facility immediately following this conversation. A fire inspection had not been completed since 8/03/2023. Ms. Oakes stated she had not realized the fire inspection was overdue and that she would call the fire inspector as soon as she was able. It is important for all required inspections to be current at all times to ensure the safety of children enrolled. You may consider placing this inspection date on your calendar or set an email reminder approximately two months before the inspection is due, as a reminder to request the inspection ahead of time. Please also be reminded a copy of the fire inspection must be sent your child care consultant within one week of the inspection date. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. It is imperative the outdoor learning environment be a safe place for children to explore and play. Ms. Oakes stated she was unaware these were issues indoors or outdoors. You must submit a plan for addressing the recurring issue of holly berries, which are toxic to children, being accessible to children on the playground. You may consider adding each of these items to your monthly playground inspection for consistent monitoring. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Oakes during the visit: • Health Questionnaires are not required to be in the Ready to Go file; only emergency information for children and staff members is required. • Consider recording on the Safe Sleep log that a child did not nap, if a child is present, but did not sleep that day. • Please review all posted Classroom Staff to Child Ratio worksheets to ensure “Voluntary Enhanced Ratios” are checked on each worksheet. • The following Child Care Rules were discussed with Ms. Oakes during the visit: o 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) (7) (10) o 10A NCAC 09 .1706 NUTRITION STANDARDS (r ) • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was 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: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 40 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Childcare Consultants with Tonia Caldwell, Director, and Elaine Oakes, Owner. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children 2 and a half years of age cared for in rooms with direct exits only, and School Age children only in Space 7. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with their teachers, participating in general routines, eating lunch, and napping during the visit. Five new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, and Special Trainings including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 9/03/2024. A fire drill was recorded 9/02/2024. A lockdown and shelter-in-place drill for the facility was recorded 8/01/2024. The most recent fire inspection was on 8/03/2023. I observed a sanitation inspection was last conducted on 11/03/2023 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time; the program also does not provider transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection had not been completed since 8/03/2023. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 2, a space designated for children one year of age, a thermometer was not observed to be located in the refrigerator containing milk and other drinks for children in care. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee. G.S. 110-90.2(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency contact information for one new staff member was not observed in the Ready to Go file. .0607(d)(10) An unannounced follow-up visit will be conducted to monitor compliance with requirements regarding Criminal Background Checks. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). Safety covers were placed in each outlet missing a cover during the visit. The emergency contact information for one new staff member was not observed in the Ready to Go file. It is important for this information to be on file in the event of a necessary emergency evacuation. You may consider adding this information to the Ready to Go file as a note on the Staff File Checklist, when hiring a new staff member. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee, M. Keaton. Ms. Keaton was observed to be a part of the classroom staff/child ratio with another staff member in Space 1, a room designated for infants. Ms. Caldwell stated this was the employee’s first day of employment, and the employee is in training. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Ms. Keaton stated she was scheduled to have her fingerprints completed at the sheriff’s department this afternoon. I stated to Ms. Keaton and Ms. Caldwell Ms. Keaton would be unable to work until a valid CBC qualification letter is on file for review. Ms. Keaton left the facility immediately following this conversation. A fire inspection had not been completed since 8/03/2023. Ms. Oakes stated she had not realized the fire inspection was overdue and that she would call the fire inspector as soon as she was able. It is important for all required inspections to be current at all times to ensure the safety of children enrolled. You may consider placing this inspection date on your calendar or set an email reminder approximately two months before the inspection is due, as a reminder to request the inspection ahead of time. Please also be reminded a copy of the fire inspection must be sent your child care consultant within one week of the inspection date. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. It is imperative the outdoor learning environment be a safe place for children to explore and play. Ms. Oakes stated she was unaware these were issues indoors or outdoors. You must submit a plan for addressing the recurring issue of holly berries, which are toxic to children, being accessible to children on the playground. You may consider adding each of these items to your monthly playground inspection for consistent monitoring. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Oakes during the visit: • Health Questionnaires are not required to be in the Ready to Go file; only emergency information for children and staff members is required. • Consider recording on the Safe Sleep log that a child did not nap, if a child is present, but did not sleep that day. • Please review all posted Classroom Staff to Child Ratio worksheets to ensure “Voluntary Enhanced Ratios” are checked on each worksheet. • The following Child Care Rules were discussed with Ms. Oakes during the visit: o 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) (7) (10) o 10A NCAC 09 .1706 NUTRITION STANDARDS (r ) • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was 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

Gs110725 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 40 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Childcare Consultants with Tonia Caldwell, Director, and Elaine Oakes, Owner. Your program currently operates with a 3-Star license effective 4/20/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only, children 2 and a half years of age cared for in rooms with direct exits only, and School Age children only in Space 7. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with their teachers, participating in general routines, eating lunch, and napping during the visit. Five new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, and Special Trainings including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 9/03/2024. A fire drill was recorded 9/02/2024. A lockdown and shelter-in-place drill for the facility was recorded 8/01/2024. The most recent fire inspection was on 8/03/2023. I observed a sanitation inspection was last conducted on 11/03/2023 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time; the program also does not provider transportation at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection had not been completed since 8/03/2023. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 2, a space designated for children one year of age, a thermometer was not observed to be located in the refrigerator containing milk and other drinks for children in care. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee. G.S. 110-90.2(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency contact information for one new staff member was not observed in the Ready to Go file. .0607(d)(10) An unannounced follow-up visit will be conducted to monitor compliance with requirements regarding Criminal Background Checks. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2 and 6 and in the bathroom accessed by children, a total of four outlets were observed without safety covers (one in Space 2, one in Space 6, and 2 in the bathroom). Safety covers were placed in each outlet missing a cover during the visit. The emergency contact information for one new staff member was not observed in the Ready to Go file. It is important for this information to be on file in the event of a necessary emergency evacuation. You may consider adding this information to the Ready to Go file as a note on the Staff File Checklist, when hiring a new staff member. A Criminal Background Check qualifying letter was not observed onsite for review for one new employee, M. Keaton. Ms. Keaton was observed to be a part of the classroom staff/child ratio with another staff member in Space 1, a room designated for infants. Ms. Caldwell stated this was the employee’s first day of employment, and the employee is in training. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Ms. Keaton stated she was scheduled to have her fingerprints completed at the sheriff’s department this afternoon. I stated to Ms. Keaton and Ms. Caldwell Ms. Keaton would be unable to work until a valid CBC qualification letter is on file for review. Ms. Keaton left the facility immediately following this conversation. A fire inspection had not been completed since 8/03/2023. Ms. Oakes stated she had not realized the fire inspection was overdue and that she would call the fire inspector as soon as she was able. It is important for all required inspections to be current at all times to ensure the safety of children enrolled. You may consider placing this inspection date on your calendar or set an email reminder approximately two months before the inspection is due, as a reminder to request the inspection ahead of time. Please also be reminded a copy of the fire inspection must be sent your child care consultant within one week of the inspection date. On the primary playground with a covered porch used by children in care, one holly bush with green holly berries was observed growing toward the back right side of the playground (facing away from the building). Another large holly bush located outside of the fenced area of the playground (to the right of the building, facing away from the building) was observed to have branches growing over the fence and into the fenced-in area. These branches were observed to have holly berries dropping from them, and greater than 50 berries were observed on the ground inside the fenced-in area of the playground. At least three young holly plants with no berries were also observed beginning to grow back in the areas they had been initially cut down. Poison ivy was observed growing inside the fenced in area of the playground toward the back right side of the playground (facing away from the building). Fabric weed block was observed emerging from the pine needles in greater than four areas along the right side of the playground toward the back right side of the playground (facing away from the building), presenting a tripping hazard for older children and/or a potential choking hazard for younger children. One stationary toy vehicle with green metal bars was observed to have paint chipping off the bars; small fleck of paint were observed on the ground. Sections of fencing along the right side and back of the playground (facing away from the building) were observed to be heavily rusted; a section of fencing along the right side of the playground, nearest the building (facing away from the building), was observed to be unstable. A sunken area with a protruding stump in the center, approximately the diameter of a beach ball, was observed toward the back right side of the playground (facing away from the building); this presents a potential safety hazard. The facility has another playground designed for infants and toddlers, but Ms. Caldwell stated this playground is not being used. On the back wall across from the bathrooms near Spaces 5 and 6, the latch of a metal vent cover was observed to have an edge sharp to the touch. It is imperative the outdoor learning environment be a safe place for children to explore and play. Ms. Oakes stated she was unaware these were issues indoors or outdoors. You must submit a plan for addressing the recurring issue of holly berries, which are toxic to children, being accessible to children on the playground. You may consider adding each of these items to your monthly playground inspection for consistent monitoring. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Oakes during the visit: • Health Questionnaires are not required to be in the Ready to Go file; only emergency information for children and staff members is required. • Consider recording on the Safe Sleep log that a child did not nap, if a child is present, but did not sleep that day. • Please review all posted Classroom Staff to Child Ratio worksheets to ensure “Voluntary Enhanced Ratios” are checked on each worksheet. • The following Child Care Rules were discussed with Ms. Oakes during the visit: o 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) (7) (10) o 10A NCAC 09 .1706 NUTRITION STANDARDS (r ) • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was 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 .0601 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 28 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 530 Time In: 08:25 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Elaine Oaks, Owner, and Tonia Lewis, Director, assisted me with the visit. Your program currently operates with a three-star license, issued April 20, 2018, earning 3 points in the education component, 4 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and infrastructure of parent involvement. The Secretary of State website was reviewed on 2/19/2024 and The Bunny Stop Pre-School, Inc. was observed to be listed as current and active. The program currently provides first shift care only. The sanitation inspection was completed 11/03/2023 with a “Superior” classification. A fire inspection was completed on 8/23/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the owner. The program’s compliance history was 88 % as of 2/19/2024. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. During a Routine Unannounced Visit conducted on 8/08/2023, Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated during the RU visit to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. This written plan has not been received. I stated to Ms. Oakes during the 8/08/2023 visit, the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children and that she would also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. I further stated that in order for this playground to be ready for children to use, the following needs to occur: All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. During today’s visit, Ms. Oakes stated the infant/toddler playground had not been in use since my last visit because she wants to add additional mulch to the area and because she has concerns regarding the safety of accessibility to the playground via the stairs for teachers, infants, and toddlers, particularly times when the program is short-staffed and does not have extra staff members to assist children in entering and exiting onto the playground. Ms. Oakes further mentioned during her most recent sanitation visit, the brush lining the left side of this playground was not mentioned as an issue. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, art, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored and found to be in compliance. Storage and administration of medication were monitored. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not provide transportation or participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and two new staff members were monitored. Children’s Records were monitored per DCDEE procedures during the visit. The files for three children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored for one year. A fire drill was conducted on 2/02/2024. A shelter-in-place and lockdown drill were completed on 2/02/2024. A playground inspection was completed on 2/01/2024. The following violations were cited during today's visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. An intern did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. G.S. 110-91(9); .0304(g); .2318 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The hands of one infant enrolled in Space 1 were not washed prior to being fed a bottle. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, three plastic bags and three metallic plastic pom-poms were accessible to children under the age of three years old. These items were made inaccessible to children during the visit. Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building). Seven balls on the playground used for preschool children were observed to be heavily mildewed. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. GS 110-91(6); .0605((i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain copies of blank incident reports. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I recommended Ms. Lewis and Ms. Oakes create a routine schedule for monitoring all program, child, and staff files to ensure all records remain complete and current. A former employee was onsite when I arrived for the visit. The employee was conducting a classroom observation for a school assignment (and was not part of the staff: child ratio). Ms. Oakes stated she had misplaced the former employee’s staff file, but asked about the requirements necessary for her to complete her internship at the facility for school assignments. Ms. Oakes also stated the former employee may return to employment as a floater, when needed, to substitute for other staff members. I provided Ms. Oakes the definition for “substitute” from Child Care Rule, the Staff File Checklist, Substitute Staff File Checklist, and Volunteer File Checklist from the Division website via email during the visit. The employee did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. I stated the former staff member must have a completed TB test or TB screening prior to returning to the site as an intern. I also stated she must have either a full substitute file or staff file onsite complete and onsite prior to returning to employment at the facility. • One staff member in Space 1 was observed to not wash an infant’s hands prior to feeding her a bottle. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I recommended Ms. Oakes and Ms. Lewis thoroughly review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with staff members. • Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building), creating a potential choking hazard for children under three years of age. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. It is important to monitor all indoor and outdoor equipment for wear, erosion, or damage to ensure children can explore these learning environments safely. Ms. Oakes stated she was unaware these were issues on the playground. I suggested Ms. Oakes and Ms. Lewis add these items to their monthly playground inspection for on-going monitoring. • The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. It is important to monitor all outdoor areas used by children for potential safety hazards before use to ensure children can explore these learning environments safely. Ms. Oakes and I discussed this may have occurred, due to the fencing settling into the ground over time. We also discussed that sand, mulch, leaves, and other natural debris that had settled against the fence can be raked back and/or removed to ensure the fencing remains at a height of 48 inches in all areas. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mrs. Oakes during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) (2) 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (d) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(i) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Oakes confirmed during today’s visit that the email was received and provided information that she has not yet enrolled in testing, but will do so in the next week. • Please be advised Ms. Brevard must complete an additional four ongoing training hours by 3/08/2024. • Please complete and submit the updated Legal Designee and Preservice Requirements for Administrators form which have been emailed to you. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0606 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 28 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 530 Time In: 08:25 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Elaine Oaks, Owner, and Tonia Lewis, Director, assisted me with the visit. Your program currently operates with a three-star license, issued April 20, 2018, earning 3 points in the education component, 4 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and infrastructure of parent involvement. The Secretary of State website was reviewed on 2/19/2024 and The Bunny Stop Pre-School, Inc. was observed to be listed as current and active. The program currently provides first shift care only. The sanitation inspection was completed 11/03/2023 with a “Superior” classification. A fire inspection was completed on 8/23/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the owner. The program’s compliance history was 88 % as of 2/19/2024. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. During a Routine Unannounced Visit conducted on 8/08/2023, Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated during the RU visit to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. This written plan has not been received. I stated to Ms. Oakes during the 8/08/2023 visit, the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children and that she would also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. I further stated that in order for this playground to be ready for children to use, the following needs to occur: All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. During today’s visit, Ms. Oakes stated the infant/toddler playground had not been in use since my last visit because she wants to add additional mulch to the area and because she has concerns regarding the safety of accessibility to the playground via the stairs for teachers, infants, and toddlers, particularly times when the program is short-staffed and does not have extra staff members to assist children in entering and exiting onto the playground. Ms. Oakes further mentioned during her most recent sanitation visit, the brush lining the left side of this playground was not mentioned as an issue. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, art, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored and found to be in compliance. Storage and administration of medication were monitored. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not provide transportation or participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and two new staff members were monitored. Children’s Records were monitored per DCDEE procedures during the visit. The files for three children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored for one year. A fire drill was conducted on 2/02/2024. A shelter-in-place and lockdown drill were completed on 2/02/2024. A playground inspection was completed on 2/01/2024. The following violations were cited during today's visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. An intern did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. G.S. 110-91(9); .0304(g); .2318 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The hands of one infant enrolled in Space 1 were not washed prior to being fed a bottle. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, three plastic bags and three metallic plastic pom-poms were accessible to children under the age of three years old. These items were made inaccessible to children during the visit. Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building). Seven balls on the playground used for preschool children were observed to be heavily mildewed. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. GS 110-91(6); .0605((i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain copies of blank incident reports. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I recommended Ms. Lewis and Ms. Oakes create a routine schedule for monitoring all program, child, and staff files to ensure all records remain complete and current. A former employee was onsite when I arrived for the visit. The employee was conducting a classroom observation for a school assignment (and was not part of the staff: child ratio). Ms. Oakes stated she had misplaced the former employee’s staff file, but asked about the requirements necessary for her to complete her internship at the facility for school assignments. Ms. Oakes also stated the former employee may return to employment as a floater, when needed, to substitute for other staff members. I provided Ms. Oakes the definition for “substitute” from Child Care Rule, the Staff File Checklist, Substitute Staff File Checklist, and Volunteer File Checklist from the Division website via email during the visit. The employee did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. I stated the former staff member must have a completed TB test or TB screening prior to returning to the site as an intern. I also stated she must have either a full substitute file or staff file onsite complete and onsite prior to returning to employment at the facility. • One staff member in Space 1 was observed to not wash an infant’s hands prior to feeding her a bottle. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I recommended Ms. Oakes and Ms. Lewis thoroughly review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with staff members. • Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building), creating a potential choking hazard for children under three years of age. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. It is important to monitor all indoor and outdoor equipment for wear, erosion, or damage to ensure children can explore these learning environments safely. Ms. Oakes stated she was unaware these were issues on the playground. I suggested Ms. Oakes and Ms. Lewis add these items to their monthly playground inspection for on-going monitoring. • The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. It is important to monitor all outdoor areas used by children for potential safety hazards before use to ensure children can explore these learning environments safely. Ms. Oakes and I discussed this may have occurred, due to the fencing settling into the ground over time. We also discussed that sand, mulch, leaves, and other natural debris that had settled against the fence can be raked back and/or removed to ensure the fencing remains at a height of 48 inches in all areas. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mrs. Oakes during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) (2) 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (d) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(i) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Oakes confirmed during today’s visit that the email was received and provided information that she has not yet enrolled in testing, but will do so in the next week. • Please be advised Ms. Brevard must complete an additional four ongoing training hours by 3/08/2024. • Please complete and submit the updated Legal Designee and Preservice Requirements for Administrators form which have been emailed to you. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 28 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 530 Time In: 08:25 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Elaine Oaks, Owner, and Tonia Lewis, Director, assisted me with the visit. Your program currently operates with a three-star license, issued April 20, 2018, earning 3 points in the education component, 4 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and infrastructure of parent involvement. The Secretary of State website was reviewed on 2/19/2024 and The Bunny Stop Pre-School, Inc. was observed to be listed as current and active. The program currently provides first shift care only. The sanitation inspection was completed 11/03/2023 with a “Superior” classification. A fire inspection was completed on 8/23/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the owner. The program’s compliance history was 88 % as of 2/19/2024. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. During a Routine Unannounced Visit conducted on 8/08/2023, Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated during the RU visit to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. This written plan has not been received. I stated to Ms. Oakes during the 8/08/2023 visit, the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children and that she would also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. I further stated that in order for this playground to be ready for children to use, the following needs to occur: All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. During today’s visit, Ms. Oakes stated the infant/toddler playground had not been in use since my last visit because she wants to add additional mulch to the area and because she has concerns regarding the safety of accessibility to the playground via the stairs for teachers, infants, and toddlers, particularly times when the program is short-staffed and does not have extra staff members to assist children in entering and exiting onto the playground. Ms. Oakes further mentioned during her most recent sanitation visit, the brush lining the left side of this playground was not mentioned as an issue. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, art, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored and found to be in compliance. Storage and administration of medication were monitored. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not provide transportation or participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and two new staff members were monitored. Children’s Records were monitored per DCDEE procedures during the visit. The files for three children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored for one year. A fire drill was conducted on 2/02/2024. A shelter-in-place and lockdown drill were completed on 2/02/2024. A playground inspection was completed on 2/01/2024. The following violations were cited during today's visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. An intern did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. G.S. 110-91(9); .0304(g); .2318 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The hands of one infant enrolled in Space 1 were not washed prior to being fed a bottle. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, three plastic bags and three metallic plastic pom-poms were accessible to children under the age of three years old. These items were made inaccessible to children during the visit. Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building). Seven balls on the playground used for preschool children were observed to be heavily mildewed. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. GS 110-91(6); .0605((i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain copies of blank incident reports. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I recommended Ms. Lewis and Ms. Oakes create a routine schedule for monitoring all program, child, and staff files to ensure all records remain complete and current. A former employee was onsite when I arrived for the visit. The employee was conducting a classroom observation for a school assignment (and was not part of the staff: child ratio). Ms. Oakes stated she had misplaced the former employee’s staff file, but asked about the requirements necessary for her to complete her internship at the facility for school assignments. Ms. Oakes also stated the former employee may return to employment as a floater, when needed, to substitute for other staff members. I provided Ms. Oakes the definition for “substitute” from Child Care Rule, the Staff File Checklist, Substitute Staff File Checklist, and Volunteer File Checklist from the Division website via email during the visit. The employee did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. I stated the former staff member must have a completed TB test or TB screening prior to returning to the site as an intern. I also stated she must have either a full substitute file or staff file onsite complete and onsite prior to returning to employment at the facility. • One staff member in Space 1 was observed to not wash an infant’s hands prior to feeding her a bottle. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I recommended Ms. Oakes and Ms. Lewis thoroughly review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with staff members. • Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building), creating a potential choking hazard for children under three years of age. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. It is important to monitor all indoor and outdoor equipment for wear, erosion, or damage to ensure children can explore these learning environments safely. Ms. Oakes stated she was unaware these were issues on the playground. I suggested Ms. Oakes and Ms. Lewis add these items to their monthly playground inspection for on-going monitoring. • The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. It is important to monitor all outdoor areas used by children for potential safety hazards before use to ensure children can explore these learning environments safely. Ms. Oakes and I discussed this may have occurred, due to the fencing settling into the ground over time. We also discussed that sand, mulch, leaves, and other natural debris that had settled against the fence can be raked back and/or removed to ensure the fencing remains at a height of 48 inches in all areas. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mrs. Oakes during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) (2) 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (d) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(i) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Oakes confirmed during today’s visit that the email was received and provided information that she has not yet enrolled in testing, but will do so in the next week. • Please be advised Ms. Brevard must complete an additional four ongoing training hours by 3/08/2024. • Please complete and submit the updated Legal Designee and Preservice Requirements for Administrators form which have been emailed to you. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 28 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 530 Time In: 08:25 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Elaine Oaks, Owner, and Tonia Lewis, Director, assisted me with the visit. Your program currently operates with a three-star license, issued April 20, 2018, earning 3 points in the education component, 4 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and infrastructure of parent involvement. The Secretary of State website was reviewed on 2/19/2024 and The Bunny Stop Pre-School, Inc. was observed to be listed as current and active. The program currently provides first shift care only. The sanitation inspection was completed 11/03/2023 with a “Superior” classification. A fire inspection was completed on 8/23/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the owner. The program’s compliance history was 88 % as of 2/19/2024. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. During a Routine Unannounced Visit conducted on 8/08/2023, Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated during the RU visit to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. This written plan has not been received. I stated to Ms. Oakes during the 8/08/2023 visit, the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children and that she would also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. I further stated that in order for this playground to be ready for children to use, the following needs to occur: All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. During today’s visit, Ms. Oakes stated the infant/toddler playground had not been in use since my last visit because she wants to add additional mulch to the area and because she has concerns regarding the safety of accessibility to the playground via the stairs for teachers, infants, and toddlers, particularly times when the program is short-staffed and does not have extra staff members to assist children in entering and exiting onto the playground. Ms. Oakes further mentioned during her most recent sanitation visit, the brush lining the left side of this playground was not mentioned as an issue. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, art, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored and found to be in compliance. Storage and administration of medication were monitored. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not provide transportation or participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and two new staff members were monitored. Children’s Records were monitored per DCDEE procedures during the visit. The files for three children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored for one year. A fire drill was conducted on 2/02/2024. A shelter-in-place and lockdown drill were completed on 2/02/2024. A playground inspection was completed on 2/01/2024. The following violations were cited during today's visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. An intern did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. G.S. 110-91(9); .0304(g); .2318 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The hands of one infant enrolled in Space 1 were not washed prior to being fed a bottle. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, three plastic bags and three metallic plastic pom-poms were accessible to children under the age of three years old. These items were made inaccessible to children during the visit. Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building). Seven balls on the playground used for preschool children were observed to be heavily mildewed. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. GS 110-91(6); .0605((i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain copies of blank incident reports. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I recommended Ms. Lewis and Ms. Oakes create a routine schedule for monitoring all program, child, and staff files to ensure all records remain complete and current. A former employee was onsite when I arrived for the visit. The employee was conducting a classroom observation for a school assignment (and was not part of the staff: child ratio). Ms. Oakes stated she had misplaced the former employee’s staff file, but asked about the requirements necessary for her to complete her internship at the facility for school assignments. Ms. Oakes also stated the former employee may return to employment as a floater, when needed, to substitute for other staff members. I provided Ms. Oakes the definition for “substitute” from Child Care Rule, the Staff File Checklist, Substitute Staff File Checklist, and Volunteer File Checklist from the Division website via email during the visit. The employee did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. I stated the former staff member must have a completed TB test or TB screening prior to returning to the site as an intern. I also stated she must have either a full substitute file or staff file onsite complete and onsite prior to returning to employment at the facility. • One staff member in Space 1 was observed to not wash an infant’s hands prior to feeding her a bottle. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I recommended Ms. Oakes and Ms. Lewis thoroughly review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with staff members. • Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building), creating a potential choking hazard for children under three years of age. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. It is important to monitor all indoor and outdoor equipment for wear, erosion, or damage to ensure children can explore these learning environments safely. Ms. Oakes stated she was unaware these were issues on the playground. I suggested Ms. Oakes and Ms. Lewis add these items to their monthly playground inspection for on-going monitoring. • The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. It is important to monitor all outdoor areas used by children for potential safety hazards before use to ensure children can explore these learning environments safely. Ms. Oakes and I discussed this may have occurred, due to the fencing settling into the ground over time. We also discussed that sand, mulch, leaves, and other natural debris that had settled against the fence can be raked back and/or removed to ensure the fencing remains at a height of 48 inches in all areas. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mrs. Oakes during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) (2) 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (d) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(i) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Oakes confirmed during today’s visit that the email was received and provided information that she has not yet enrolled in testing, but will do so in the next week. • Please be advised Ms. Brevard must complete an additional four ongoing training hours by 3/08/2024. • Please complete and submit the updated Legal Designee and Preservice Requirements for Administrators form which have been emailed to you. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 28 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 530 Time In: 08:25 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Elaine Oaks, Owner, and Tonia Lewis, Director, assisted me with the visit. Your program currently operates with a three-star license, issued April 20, 2018, earning 3 points in the education component, 4 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and infrastructure of parent involvement. The Secretary of State website was reviewed on 2/19/2024 and The Bunny Stop Pre-School, Inc. was observed to be listed as current and active. The program currently provides first shift care only. The sanitation inspection was completed 11/03/2023 with a “Superior” classification. A fire inspection was completed on 8/23/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the owner. The program’s compliance history was 88 % as of 2/19/2024. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. During a Routine Unannounced Visit conducted on 8/08/2023, Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated during the RU visit to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. This written plan has not been received. I stated to Ms. Oakes during the 8/08/2023 visit, the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children and that she would also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. I further stated that in order for this playground to be ready for children to use, the following needs to occur: All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. During today’s visit, Ms. Oakes stated the infant/toddler playground had not been in use since my last visit because she wants to add additional mulch to the area and because she has concerns regarding the safety of accessibility to the playground via the stairs for teachers, infants, and toddlers, particularly times when the program is short-staffed and does not have extra staff members to assist children in entering and exiting onto the playground. Ms. Oakes further mentioned during her most recent sanitation visit, the brush lining the left side of this playground was not mentioned as an issue. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, art, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored and found to be in compliance. Storage and administration of medication were monitored. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not provide transportation or participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and two new staff members were monitored. Children’s Records were monitored per DCDEE procedures during the visit. The files for three children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored for one year. A fire drill was conducted on 2/02/2024. A shelter-in-place and lockdown drill were completed on 2/02/2024. A playground inspection was completed on 2/01/2024. The following violations were cited during today's visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. An intern did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. G.S. 110-91(9); .0304(g); .2318 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The hands of one infant enrolled in Space 1 were not washed prior to being fed a bottle. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, three plastic bags and three metallic plastic pom-poms were accessible to children under the age of three years old. These items were made inaccessible to children during the visit. Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building). Seven balls on the playground used for preschool children were observed to be heavily mildewed. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. GS 110-91(6); .0605((i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain copies of blank incident reports. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I recommended Ms. Lewis and Ms. Oakes create a routine schedule for monitoring all program, child, and staff files to ensure all records remain complete and current. A former employee was onsite when I arrived for the visit. The employee was conducting a classroom observation for a school assignment (and was not part of the staff: child ratio). Ms. Oakes stated she had misplaced the former employee’s staff file, but asked about the requirements necessary for her to complete her internship at the facility for school assignments. Ms. Oakes also stated the former employee may return to employment as a floater, when needed, to substitute for other staff members. I provided Ms. Oakes the definition for “substitute” from Child Care Rule, the Staff File Checklist, Substitute Staff File Checklist, and Volunteer File Checklist from the Division website via email during the visit. The employee did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. I stated the former staff member must have a completed TB test or TB screening prior to returning to the site as an intern. I also stated she must have either a full substitute file or staff file onsite complete and onsite prior to returning to employment at the facility. • One staff member in Space 1 was observed to not wash an infant’s hands prior to feeding her a bottle. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I recommended Ms. Oakes and Ms. Lewis thoroughly review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with staff members. • Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building), creating a potential choking hazard for children under three years of age. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. It is important to monitor all indoor and outdoor equipment for wear, erosion, or damage to ensure children can explore these learning environments safely. Ms. Oakes stated she was unaware these were issues on the playground. I suggested Ms. Oakes and Ms. Lewis add these items to their monthly playground inspection for on-going monitoring. • The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. It is important to monitor all outdoor areas used by children for potential safety hazards before use to ensure children can explore these learning environments safely. Ms. Oakes and I discussed this may have occurred, due to the fencing settling into the ground over time. We also discussed that sand, mulch, leaves, and other natural debris that had settled against the fence can be raked back and/or removed to ensure the fencing remains at a height of 48 inches in all areas. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mrs. Oakes during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) (2) 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (d) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(i) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Oakes confirmed during today’s visit that the email was received and provided information that she has not yet enrolled in testing, but will do so in the next week. • Please be advised Ms. Brevard must complete an additional four ongoing training hours by 3/08/2024. • Please complete and submit the updated Legal Designee and Preservice Requirements for Administrators form which have been emailed to you. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 28 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 530 Time In: 08:25 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Elaine Oaks, Owner, and Tonia Lewis, Director, assisted me with the visit. Your program currently operates with a three-star license, issued April 20, 2018, earning 3 points in the education component, 4 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and infrastructure of parent involvement. The Secretary of State website was reviewed on 2/19/2024 and The Bunny Stop Pre-School, Inc. was observed to be listed as current and active. The program currently provides first shift care only. The sanitation inspection was completed 11/03/2023 with a “Superior” classification. A fire inspection was completed on 8/23/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the owner. The program’s compliance history was 88 % as of 2/19/2024. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. During a Routine Unannounced Visit conducted on 8/08/2023, Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated during the RU visit to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. This written plan has not been received. I stated to Ms. Oakes during the 8/08/2023 visit, the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children and that she would also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. I further stated that in order for this playground to be ready for children to use, the following needs to occur: All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. During today’s visit, Ms. Oakes stated the infant/toddler playground had not been in use since my last visit because she wants to add additional mulch to the area and because she has concerns regarding the safety of accessibility to the playground via the stairs for teachers, infants, and toddlers, particularly times when the program is short-staffed and does not have extra staff members to assist children in entering and exiting onto the playground. Ms. Oakes further mentioned during her most recent sanitation visit, the brush lining the left side of this playground was not mentioned as an issue. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, art, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored and found to be in compliance. Storage and administration of medication were monitored. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not provide transportation or participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and two new staff members were monitored. Children’s Records were monitored per DCDEE procedures during the visit. The files for three children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored for one year. A fire drill was conducted on 2/02/2024. A shelter-in-place and lockdown drill were completed on 2/02/2024. A playground inspection was completed on 2/01/2024. The following violations were cited during today's visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. An intern did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. G.S. 110-91(9); .0304(g); .2318 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The hands of one infant enrolled in Space 1 were not washed prior to being fed a bottle. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, three plastic bags and three metallic plastic pom-poms were accessible to children under the age of three years old. These items were made inaccessible to children during the visit. Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building). Seven balls on the playground used for preschool children were observed to be heavily mildewed. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. GS 110-91(6); .0605((i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain copies of blank incident reports. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I recommended Ms. Lewis and Ms. Oakes create a routine schedule for monitoring all program, child, and staff files to ensure all records remain complete and current. A former employee was onsite when I arrived for the visit. The employee was conducting a classroom observation for a school assignment (and was not part of the staff: child ratio). Ms. Oakes stated she had misplaced the former employee’s staff file, but asked about the requirements necessary for her to complete her internship at the facility for school assignments. Ms. Oakes also stated the former employee may return to employment as a floater, when needed, to substitute for other staff members. I provided Ms. Oakes the definition for “substitute” from Child Care Rule, the Staff File Checklist, Substitute Staff File Checklist, and Volunteer File Checklist from the Division website via email during the visit. The employee did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. I stated the former staff member must have a completed TB test or TB screening prior to returning to the site as an intern. I also stated she must have either a full substitute file or staff file onsite complete and onsite prior to returning to employment at the facility. • One staff member in Space 1 was observed to not wash an infant’s hands prior to feeding her a bottle. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I recommended Ms. Oakes and Ms. Lewis thoroughly review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with staff members. • Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building), creating a potential choking hazard for children under three years of age. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. It is important to monitor all indoor and outdoor equipment for wear, erosion, or damage to ensure children can explore these learning environments safely. Ms. Oakes stated she was unaware these were issues on the playground. I suggested Ms. Oakes and Ms. Lewis add these items to their monthly playground inspection for on-going monitoring. • The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. It is important to monitor all outdoor areas used by children for potential safety hazards before use to ensure children can explore these learning environments safely. Ms. Oakes and I discussed this may have occurred, due to the fencing settling into the ground over time. We also discussed that sand, mulch, leaves, and other natural debris that had settled against the fence can be raked back and/or removed to ensure the fencing remains at a height of 48 inches in all areas. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mrs. Oakes during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) (2) 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (d) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(i) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Oakes confirmed during today’s visit that the email was received and provided information that she has not yet enrolled in testing, but will do so in the next week. • Please be advised Ms. Brevard must complete an additional four ongoing training hours by 3/08/2024. • Please complete and submit the updated Legal Designee and Preservice Requirements for Administrators form which have been emailed to you. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 28 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 530 Time In: 08:25 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Elaine Oaks, Owner, and Tonia Lewis, Director, assisted me with the visit. Your program currently operates with a three-star license, issued April 20, 2018, earning 3 points in the education component, 4 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and infrastructure of parent involvement. The Secretary of State website was reviewed on 2/19/2024 and The Bunny Stop Pre-School, Inc. was observed to be listed as current and active. The program currently provides first shift care only. The sanitation inspection was completed 11/03/2023 with a “Superior” classification. A fire inspection was completed on 8/23/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the owner. The program’s compliance history was 88 % as of 2/19/2024. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. During a Routine Unannounced Visit conducted on 8/08/2023, Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated during the RU visit to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. This written plan has not been received. I stated to Ms. Oakes during the 8/08/2023 visit, the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children and that she would also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. I further stated that in order for this playground to be ready for children to use, the following needs to occur: All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. During today’s visit, Ms. Oakes stated the infant/toddler playground had not been in use since my last visit because she wants to add additional mulch to the area and because she has concerns regarding the safety of accessibility to the playground via the stairs for teachers, infants, and toddlers, particularly times when the program is short-staffed and does not have extra staff members to assist children in entering and exiting onto the playground. Ms. Oakes further mentioned during her most recent sanitation visit, the brush lining the left side of this playground was not mentioned as an issue. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, art, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored and found to be in compliance. Storage and administration of medication were monitored. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not provide transportation or participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and two new staff members were monitored. Children’s Records were monitored per DCDEE procedures during the visit. The files for three children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored for one year. A fire drill was conducted on 2/02/2024. A shelter-in-place and lockdown drill were completed on 2/02/2024. A playground inspection was completed on 2/01/2024. The following violations were cited during today's visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. An intern did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. G.S. 110-91(9); .0304(g); .2318 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The hands of one infant enrolled in Space 1 were not washed prior to being fed a bottle. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. In Space 3, three plastic bags and three metallic plastic pom-poms were accessible to children under the age of three years old. These items were made inaccessible to children during the visit. Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building). Seven balls on the playground used for preschool children were observed to be heavily mildewed. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. GS 110-91(6); .0605((i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain copies of blank incident reports. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • The Emergency Preparedness and Response Plan was last updated on 2/07/2017. Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not on file for review for one existing employee. An annual signed review of the Emergency Preparedness and Response Plan was not on file for review for one existing employee. The medical report for one new employee was completed on 8/29/2023; the employee's hire date was 8/21/23. The TB test for one new employee was completed on 8/22/2023; the employee's hire date was 8/21/23. The file for one new staff member did not include CPR or First Aid certification documentation within 90 days of hire; the employee’s start date was 8/21/23. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I recommended Ms. Lewis and Ms. Oakes create a routine schedule for monitoring all program, child, and staff files to ensure all records remain complete and current. A former employee was onsite when I arrived for the visit. The employee was conducting a classroom observation for a school assignment (and was not part of the staff: child ratio). Ms. Oakes stated she had misplaced the former employee’s staff file, but asked about the requirements necessary for her to complete her internship at the facility for school assignments. Ms. Oakes also stated the former employee may return to employment as a floater, when needed, to substitute for other staff members. I provided Ms. Oakes the definition for “substitute” from Child Care Rule, the Staff File Checklist, Substitute Staff File Checklist, and Volunteer File Checklist from the Division website via email during the visit. The employee did not have a record of a tuberculosis screening or test, emergency information, health questionnaire, or signed acknowledgement of the location of the EPR plan on file at the time of the visit. I stated the former staff member must have a completed TB test or TB screening prior to returning to the site as an intern. I also stated she must have either a full substitute file or staff file onsite complete and onsite prior to returning to employment at the facility. • One staff member in Space 1 was observed to not wash an infant’s hands prior to feeding her a bottle. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I recommended Ms. Oakes and Ms. Lewis thoroughly review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with staff members. • Fabric weed block was observed emerging in greater than three areas along the back right side of the playground used for preschool children (facing away from the building), creating a potential choking hazard for children under three years of age. Rust was observed on two of the three pull-up bars and the stationary climbing vehicle located on the playground used by preschool children. It is important to monitor all indoor and outdoor equipment for wear, erosion, or damage to ensure children can explore these learning environments safely. Ms. Oakes stated she was unaware these were issues on the playground. I suggested Ms. Oakes and Ms. Lewis add these items to their monthly playground inspection for on-going monitoring. • The top of the fence, less than six feet, was not free from protrusions. The fencing surrounding the playground used by preschool children measured between 41 inches and 45 inches in greater than four areas. It is important to monitor all outdoor areas used by children for potential safety hazards before use to ensure children can explore these learning environments safely. Ms. Oakes and I discussed this may have occurred, due to the fencing settling into the ground over time. We also discussed that sand, mulch, leaves, and other natural debris that had settled against the fence can be raked back and/or removed to ensure the fencing remains at a height of 48 inches in all areas. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mrs. Oakes during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) (2) 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (d) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(i) 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Oakes confirmed during today’s visit that the email was received and provided information that she has not yet enrolled in testing, but will do so in the next week. • Please be advised Ms. Brevard must complete an additional four ongoing training hours by 3/08/2024. • Please complete and submit the updated Legal Designee and Preservice Requirements for Administrators form which have been emailed to you. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 31 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Bernetta Oakes, Director, assisted me with the visit. Your program currently operates with a 3-Star license effective April 20, 2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only; children under 2 ½ years old in rooms with direct exits only; School Age Children only in Space 7. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. Ms. Oakes posted this signage during the visit. The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. This door was locked during my visit. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5; the teacher made each of these inaccessible to children during the visit. This facility has two playgrounds. Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. Greater than seven holly bushes/ trees were observed to be growing inside the fenced area of the second playground along the right side of the fencing and were observed to have dropped berries onto the ground which were accessible to children. One holly tree was observed growing outside the fenced-in area, but its foliage extended over a portion of the play area, and holly berries, toxic to children, were observed on the ground. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the playground, which can potentially encourage and harbor vermin. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. I stated to Ms. Oakes the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled until the holly bushes/trees can be removed from the second playground. I shared with Ms. Oakes she would need to develop a plan for either the removal of these bushes/trees or for preventing these bushes/trees and berries from being accessed by children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children; Ms. Oakes will also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. In order for this playground to be ready for children to use, the following needs to occur: • All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground; • Trash may not be stored on the back porch, even temporarily, when children are using the playground; • All mushrooms growing up from the ground should be removed; • The wooden fence slat which has become detached from the back center side of the fencing must be reattached; • Please clear any cobwebs from play structures and equipment prior to children accessing this area; • Please ensure all bolts, screws, etc. on playground equipment are monitored for developing rust and treated or replaced, if necessary; • Please fill the three small holes located between the sidewalk and the grassy area of the playground to prevent a child from stepping into them; • Please remove the sharp screw protruding from the inside base of the wooden gate door. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Four children enrolled were not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored and observed to be in compliance. An incident log was not available for review. The Ready to Go file was not current and updated. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded on 8/03/2023. A fire drill was recorded on 7/14/2023. A lockdown and shelter in place drill for the facility was recorded on 5/01/23. The most recent fire inspection was completed on 6/29/2022. Ms. Oakes provided me a copy of this inspection during the visit. I observed a sanitation inspection was last conducted on 10/18/2022 earning a Superior classification. Ms. Oakes stated the program does not currently provide transportation or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Four children enrolled were not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children.The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the second playground, which can potentially encourage and harbor vermin. 15A NCAC 18A .2832(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent fire inspection was conducted on 6/29/2022. GS 110-91 1739 All records required were not available for review by a representative of the Division. An incident log was not available for review. The Ready to Go file was not current and updated. .2318(1-8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. .0604(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/22/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Oakes during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. - You may access the Risk Management Portal to reprint and/or update your EPR plan at the following website: https://rmp.nc.gov/portal/portal.aspx# • Please monitor the outdoor environment and the inside of stationary structures for broken toys, cobwebs, and trash or debris prior to the children using the playground daily. • Please pressure wash all outdoor equipment and shade coverings used by children enrolled. • Please monitor the fencing surrounding each playground for developing rust. - Please monitor Space 6 for metal floor grates that may be developing rust. - Please remove the plastic, metallic-colored Pom-Poms from Space 6 prior to children under the age of three years old using the space, as these present a potential choking hazard. - Please complete and submit an updated Legal Designee Form and Preservice Requirements for Administrators form. - Please send me a copy of your Operational Policies. - Please limit the use of any restrictive equipment for infants and toddlers, such as bouncy seats, Exer-saucers, highchairs, Bumbo seats, etc. so children have as many opportunities to move around as possible. - Please consider using a latch on the cabinet beneath the hand washing sink during diapering in Space 2, as opposed to the cord that is currently on the cabinet. - Please monitor Space 2 for ants. - When completing medication authorization forms for topical creams and/or sprays, please remember to record specific dosages, specific times for the topical cream/spray to be used, the specific reason the medication is used (ex. “to prevent diaper rash”, “when red”, etc.), and the specific name/brand of ointment being applied. - Please document on each infant’s safe sleep record days he/she is absent from care. - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. - Please consider adding additional materials to the art and blocks (blocks and accessories) centers in Space 3. - Please post a cot list in Space 3. - Please review each posted Staff/Child Ratio worksheet in each classroom to ensure that “Voluntary Enhanced Requirements” are checked and that the Maximum Number of Children Allowed reflects the maximum space capacity documented on your floor plan for each classroom. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 31 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Bernetta Oakes, Director, assisted me with the visit. Your program currently operates with a 3-Star license effective April 20, 2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only; children under 2 ½ years old in rooms with direct exits only; School Age Children only in Space 7. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. Ms. Oakes posted this signage during the visit. The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. This door was locked during my visit. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5; the teacher made each of these inaccessible to children during the visit. This facility has two playgrounds. Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. Greater than seven holly bushes/ trees were observed to be growing inside the fenced area of the second playground along the right side of the fencing and were observed to have dropped berries onto the ground which were accessible to children. One holly tree was observed growing outside the fenced-in area, but its foliage extended over a portion of the play area, and holly berries, toxic to children, were observed on the ground. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the playground, which can potentially encourage and harbor vermin. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. I stated to Ms. Oakes the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled until the holly bushes/trees can be removed from the second playground. I shared with Ms. Oakes she would need to develop a plan for either the removal of these bushes/trees or for preventing these bushes/trees and berries from being accessed by children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children; Ms. Oakes will also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. In order for this playground to be ready for children to use, the following needs to occur: • All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground; • Trash may not be stored on the back porch, even temporarily, when children are using the playground; • All mushrooms growing up from the ground should be removed; • The wooden fence slat which has become detached from the back center side of the fencing must be reattached; • Please clear any cobwebs from play structures and equipment prior to children accessing this area; • Please ensure all bolts, screws, etc. on playground equipment are monitored for developing rust and treated or replaced, if necessary; • Please fill the three small holes located between the sidewalk and the grassy area of the playground to prevent a child from stepping into them; • Please remove the sharp screw protruding from the inside base of the wooden gate door. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Four children enrolled were not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored and observed to be in compliance. An incident log was not available for review. The Ready to Go file was not current and updated. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded on 8/03/2023. A fire drill was recorded on 7/14/2023. A lockdown and shelter in place drill for the facility was recorded on 5/01/23. The most recent fire inspection was completed on 6/29/2022. Ms. Oakes provided me a copy of this inspection during the visit. I observed a sanitation inspection was last conducted on 10/18/2022 earning a Superior classification. Ms. Oakes stated the program does not currently provide transportation or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Four children enrolled were not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children.The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the second playground, which can potentially encourage and harbor vermin. 15A NCAC 18A .2832(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent fire inspection was conducted on 6/29/2022. GS 110-91 1739 All records required were not available for review by a representative of the Division. An incident log was not available for review. The Ready to Go file was not current and updated. .2318(1-8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. .0604(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/22/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Oakes during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. - You may access the Risk Management Portal to reprint and/or update your EPR plan at the following website: https://rmp.nc.gov/portal/portal.aspx# • Please monitor the outdoor environment and the inside of stationary structures for broken toys, cobwebs, and trash or debris prior to the children using the playground daily. • Please pressure wash all outdoor equipment and shade coverings used by children enrolled. • Please monitor the fencing surrounding each playground for developing rust. - Please monitor Space 6 for metal floor grates that may be developing rust. - Please remove the plastic, metallic-colored Pom-Poms from Space 6 prior to children under the age of three years old using the space, as these present a potential choking hazard. - Please complete and submit an updated Legal Designee Form and Preservice Requirements for Administrators form. - Please send me a copy of your Operational Policies. - Please limit the use of any restrictive equipment for infants and toddlers, such as bouncy seats, Exer-saucers, highchairs, Bumbo seats, etc. so children have as many opportunities to move around as possible. - Please consider using a latch on the cabinet beneath the hand washing sink during diapering in Space 2, as opposed to the cord that is currently on the cabinet. - Please monitor Space 2 for ants. - When completing medication authorization forms for topical creams and/or sprays, please remember to record specific dosages, specific times for the topical cream/spray to be used, the specific reason the medication is used (ex. “to prevent diaper rash”, “when red”, etc.), and the specific name/brand of ointment being applied. - Please document on each infant’s safe sleep record days he/she is absent from care. - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. - Please consider adding additional materials to the art and blocks (blocks and accessories) centers in Space 3. - Please post a cot list in Space 3. - Please review each posted Staff/Child Ratio worksheet in each classroom to ensure that “Voluntary Enhanced Requirements” are checked and that the Maximum Number of Children Allowed reflects the maximum space capacity documented on your floor plan for each classroom. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 31 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Bernetta Oakes, Director, assisted me with the visit. Your program currently operates with a 3-Star license effective April 20, 2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only; children under 2 ½ years old in rooms with direct exits only; School Age Children only in Space 7. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. Ms. Oakes posted this signage during the visit. The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. This door was locked during my visit. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5; the teacher made each of these inaccessible to children during the visit. This facility has two playgrounds. Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. Greater than seven holly bushes/ trees were observed to be growing inside the fenced area of the second playground along the right side of the fencing and were observed to have dropped berries onto the ground which were accessible to children. One holly tree was observed growing outside the fenced-in area, but its foliage extended over a portion of the play area, and holly berries, toxic to children, were observed on the ground. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the playground, which can potentially encourage and harbor vermin. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. I stated to Ms. Oakes the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled until the holly bushes/trees can be removed from the second playground. I shared with Ms. Oakes she would need to develop a plan for either the removal of these bushes/trees or for preventing these bushes/trees and berries from being accessed by children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children; Ms. Oakes will also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. In order for this playground to be ready for children to use, the following needs to occur: • All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground; • Trash may not be stored on the back porch, even temporarily, when children are using the playground; • All mushrooms growing up from the ground should be removed; • The wooden fence slat which has become detached from the back center side of the fencing must be reattached; • Please clear any cobwebs from play structures and equipment prior to children accessing this area; • Please ensure all bolts, screws, etc. on playground equipment are monitored for developing rust and treated or replaced, if necessary; • Please fill the three small holes located between the sidewalk and the grassy area of the playground to prevent a child from stepping into them; • Please remove the sharp screw protruding from the inside base of the wooden gate door. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Four children enrolled were not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored and observed to be in compliance. An incident log was not available for review. The Ready to Go file was not current and updated. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded on 8/03/2023. A fire drill was recorded on 7/14/2023. A lockdown and shelter in place drill for the facility was recorded on 5/01/23. The most recent fire inspection was completed on 6/29/2022. Ms. Oakes provided me a copy of this inspection during the visit. I observed a sanitation inspection was last conducted on 10/18/2022 earning a Superior classification. Ms. Oakes stated the program does not currently provide transportation or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Four children enrolled were not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children.The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the second playground, which can potentially encourage and harbor vermin. 15A NCAC 18A .2832(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent fire inspection was conducted on 6/29/2022. GS 110-91 1739 All records required were not available for review by a representative of the Division. An incident log was not available for review. The Ready to Go file was not current and updated. .2318(1-8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. .0604(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/22/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Oakes during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. - You may access the Risk Management Portal to reprint and/or update your EPR plan at the following website: https://rmp.nc.gov/portal/portal.aspx# • Please monitor the outdoor environment and the inside of stationary structures for broken toys, cobwebs, and trash or debris prior to the children using the playground daily. • Please pressure wash all outdoor equipment and shade coverings used by children enrolled. • Please monitor the fencing surrounding each playground for developing rust. - Please monitor Space 6 for metal floor grates that may be developing rust. - Please remove the plastic, metallic-colored Pom-Poms from Space 6 prior to children under the age of three years old using the space, as these present a potential choking hazard. - Please complete and submit an updated Legal Designee Form and Preservice Requirements for Administrators form. - Please send me a copy of your Operational Policies. - Please limit the use of any restrictive equipment for infants and toddlers, such as bouncy seats, Exer-saucers, highchairs, Bumbo seats, etc. so children have as many opportunities to move around as possible. - Please consider using a latch on the cabinet beneath the hand washing sink during diapering in Space 2, as opposed to the cord that is currently on the cabinet. - Please monitor Space 2 for ants. - When completing medication authorization forms for topical creams and/or sprays, please remember to record specific dosages, specific times for the topical cream/spray to be used, the specific reason the medication is used (ex. “to prevent diaper rash”, “when red”, etc.), and the specific name/brand of ointment being applied. - Please document on each infant’s safe sleep record days he/she is absent from care. - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. - Please consider adding additional materials to the art and blocks (blocks and accessories) centers in Space 3. - Please post a cot list in Space 3. - Please review each posted Staff/Child Ratio worksheet in each classroom to ensure that “Voluntary Enhanced Requirements” are checked and that the Maximum Number of Children Allowed reflects the maximum space capacity documented on your floor plan for each classroom. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 31 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Bernetta Oakes, Director, assisted me with the visit. Your program currently operates with a 3-Star license effective April 20, 2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only; children under 2 ½ years old in rooms with direct exits only; School Age Children only in Space 7. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. Ms. Oakes posted this signage during the visit. The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. This door was locked during my visit. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5; the teacher made each of these inaccessible to children during the visit. This facility has two playgrounds. Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. Greater than seven holly bushes/ trees were observed to be growing inside the fenced area of the second playground along the right side of the fencing and were observed to have dropped berries onto the ground which were accessible to children. One holly tree was observed growing outside the fenced-in area, but its foliage extended over a portion of the play area, and holly berries, toxic to children, were observed on the ground. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the playground, which can potentially encourage and harbor vermin. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. I stated to Ms. Oakes the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled until the holly bushes/trees can be removed from the second playground. I shared with Ms. Oakes she would need to develop a plan for either the removal of these bushes/trees or for preventing these bushes/trees and berries from being accessed by children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children; Ms. Oakes will also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. In order for this playground to be ready for children to use, the following needs to occur: • All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground; • Trash may not be stored on the back porch, even temporarily, when children are using the playground; • All mushrooms growing up from the ground should be removed; • The wooden fence slat which has become detached from the back center side of the fencing must be reattached; • Please clear any cobwebs from play structures and equipment prior to children accessing this area; • Please ensure all bolts, screws, etc. on playground equipment are monitored for developing rust and treated or replaced, if necessary; • Please fill the three small holes located between the sidewalk and the grassy area of the playground to prevent a child from stepping into them; • Please remove the sharp screw protruding from the inside base of the wooden gate door. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Four children enrolled were not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored and observed to be in compliance. An incident log was not available for review. The Ready to Go file was not current and updated. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded on 8/03/2023. A fire drill was recorded on 7/14/2023. A lockdown and shelter in place drill for the facility was recorded on 5/01/23. The most recent fire inspection was completed on 6/29/2022. Ms. Oakes provided me a copy of this inspection during the visit. I observed a sanitation inspection was last conducted on 10/18/2022 earning a Superior classification. Ms. Oakes stated the program does not currently provide transportation or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Four children enrolled were not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children.The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the second playground, which can potentially encourage and harbor vermin. 15A NCAC 18A .2832(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent fire inspection was conducted on 6/29/2022. GS 110-91 1739 All records required were not available for review by a representative of the Division. An incident log was not available for review. The Ready to Go file was not current and updated. .2318(1-8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. .0604(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/22/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Oakes during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. - You may access the Risk Management Portal to reprint and/or update your EPR plan at the following website: https://rmp.nc.gov/portal/portal.aspx# • Please monitor the outdoor environment and the inside of stationary structures for broken toys, cobwebs, and trash or debris prior to the children using the playground daily. • Please pressure wash all outdoor equipment and shade coverings used by children enrolled. • Please monitor the fencing surrounding each playground for developing rust. - Please monitor Space 6 for metal floor grates that may be developing rust. - Please remove the plastic, metallic-colored Pom-Poms from Space 6 prior to children under the age of three years old using the space, as these present a potential choking hazard. - Please complete and submit an updated Legal Designee Form and Preservice Requirements for Administrators form. - Please send me a copy of your Operational Policies. - Please limit the use of any restrictive equipment for infants and toddlers, such as bouncy seats, Exer-saucers, highchairs, Bumbo seats, etc. so children have as many opportunities to move around as possible. - Please consider using a latch on the cabinet beneath the hand washing sink during diapering in Space 2, as opposed to the cord that is currently on the cabinet. - Please monitor Space 2 for ants. - When completing medication authorization forms for topical creams and/or sprays, please remember to record specific dosages, specific times for the topical cream/spray to be used, the specific reason the medication is used (ex. “to prevent diaper rash”, “when red”, etc.), and the specific name/brand of ointment being applied. - Please document on each infant’s safe sleep record days he/she is absent from care. - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. - Please consider adding additional materials to the art and blocks (blocks and accessories) centers in Space 3. - Please post a cot list in Space 3. - Please review each posted Staff/Child Ratio worksheet in each classroom to ensure that “Voluntary Enhanced Requirements” are checked and that the Maximum Number of Children Allowed reflects the maximum space capacity documented on your floor plan for each classroom. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 31 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Bernetta Oakes, Director, assisted me with the visit. Your program currently operates with a 3-Star license effective April 20, 2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only; children under 2 ½ years old in rooms with direct exits only; School Age Children only in Space 7. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. Ms. Oakes posted this signage during the visit. The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. This door was locked during my visit. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5; the teacher made each of these inaccessible to children during the visit. This facility has two playgrounds. Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. Greater than seven holly bushes/ trees were observed to be growing inside the fenced area of the second playground along the right side of the fencing and were observed to have dropped berries onto the ground which were accessible to children. One holly tree was observed growing outside the fenced-in area, but its foliage extended over a portion of the play area, and holly berries, toxic to children, were observed on the ground. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the playground, which can potentially encourage and harbor vermin. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. I stated to Ms. Oakes the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled until the holly bushes/trees can be removed from the second playground. I shared with Ms. Oakes she would need to develop a plan for either the removal of these bushes/trees or for preventing these bushes/trees and berries from being accessed by children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children; Ms. Oakes will also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. In order for this playground to be ready for children to use, the following needs to occur: • All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground; • Trash may not be stored on the back porch, even temporarily, when children are using the playground; • All mushrooms growing up from the ground should be removed; • The wooden fence slat which has become detached from the back center side of the fencing must be reattached; • Please clear any cobwebs from play structures and equipment prior to children accessing this area; • Please ensure all bolts, screws, etc. on playground equipment are monitored for developing rust and treated or replaced, if necessary; • Please fill the three small holes located between the sidewalk and the grassy area of the playground to prevent a child from stepping into them; • Please remove the sharp screw protruding from the inside base of the wooden gate door. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Four children enrolled were not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored and observed to be in compliance. An incident log was not available for review. The Ready to Go file was not current and updated. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded on 8/03/2023. A fire drill was recorded on 7/14/2023. A lockdown and shelter in place drill for the facility was recorded on 5/01/23. The most recent fire inspection was completed on 6/29/2022. Ms. Oakes provided me a copy of this inspection during the visit. I observed a sanitation inspection was last conducted on 10/18/2022 earning a Superior classification. Ms. Oakes stated the program does not currently provide transportation or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Four children enrolled were not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children.The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the second playground, which can potentially encourage and harbor vermin. 15A NCAC 18A .2832(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent fire inspection was conducted on 6/29/2022. GS 110-91 1739 All records required were not available for review by a representative of the Division. An incident log was not available for review. The Ready to Go file was not current and updated. .2318(1-8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. .0604(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/22/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Oakes during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. - You may access the Risk Management Portal to reprint and/or update your EPR plan at the following website: https://rmp.nc.gov/portal/portal.aspx# • Please monitor the outdoor environment and the inside of stationary structures for broken toys, cobwebs, and trash or debris prior to the children using the playground daily. • Please pressure wash all outdoor equipment and shade coverings used by children enrolled. • Please monitor the fencing surrounding each playground for developing rust. - Please monitor Space 6 for metal floor grates that may be developing rust. - Please remove the plastic, metallic-colored Pom-Poms from Space 6 prior to children under the age of three years old using the space, as these present a potential choking hazard. - Please complete and submit an updated Legal Designee Form and Preservice Requirements for Administrators form. - Please send me a copy of your Operational Policies. - Please limit the use of any restrictive equipment for infants and toddlers, such as bouncy seats, Exer-saucers, highchairs, Bumbo seats, etc. so children have as many opportunities to move around as possible. - Please consider using a latch on the cabinet beneath the hand washing sink during diapering in Space 2, as opposed to the cord that is currently on the cabinet. - Please monitor Space 2 for ants. - When completing medication authorization forms for topical creams and/or sprays, please remember to record specific dosages, specific times for the topical cream/spray to be used, the specific reason the medication is used (ex. “to prevent diaper rash”, “when red”, etc.), and the specific name/brand of ointment being applied. - Please document on each infant’s safe sleep record days he/she is absent from care. - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. - Please consider adding additional materials to the art and blocks (blocks and accessories) centers in Space 3. - Please post a cot list in Space 3. - Please review each posted Staff/Child Ratio worksheet in each classroom to ensure that “Voluntary Enhanced Requirements” are checked and that the Maximum Number of Children Allowed reflects the maximum space capacity documented on your floor plan for each classroom. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE BUNNY STOP PRE-SCHOOL INC. Facility ID: 34000918 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 31 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Bernetta Oakes, Director, assisted me with the visit. Your program currently operates with a 3-Star license effective April 20, 2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, children in care on ground level only; children under 2 ½ years old in rooms with direct exits only; School Age Children only in Space 7. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. Ms. Oakes posted this signage during the visit. The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. This door was locked during my visit. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5; the teacher made each of these inaccessible to children during the visit. This facility has two playgrounds. Ms. Oakes stated the infant/toddler playground had not been used in almost one year. She stated the second playground (designated for children three years of age and older) and covered outdoor porch have been used by all ages of children enrolled in care and the outdoor porch is utilized primarily by infants and toddlers when there is active precipitation. I stated to Ms. Oakes that if she intends to continue using the covered porch for infants and toddlers, she will need to provide the Division a written plan describing how staff will ensure the supervision and safety of children around the stairs. Greater than seven holly bushes/ trees were observed to be growing inside the fenced area of the second playground along the right side of the fencing and were observed to have dropped berries onto the ground which were accessible to children. One holly tree was observed growing outside the fenced-in area, but its foliage extended over a portion of the play area, and holly berries, toxic to children, were observed on the ground. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the playground, which can potentially encourage and harbor vermin. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. I stated to Ms. Oakes the infant/toddler playground would need to be brought into compliance and reopened by 8/22/2023 for use by all children enrolled until the holly bushes/trees can be removed from the second playground. I shared with Ms. Oakes she would need to develop a plan for either the removal of these bushes/trees or for preventing these bushes/trees and berries from being accessed by children enrolled. I also reminded Ms. Oakes the infant/toddler playground capacity is for 40 children; Ms. Oakes will also need to develop a playground schedule to implement by 8/22/2023 to ensure that this capacity is maintained at all times. In order for this playground to be ready for children to use, the following needs to occur: • All brush needs to be trimmed back a minimum of one foot from the fencing on all sides of the playground; • Trash may not be stored on the back porch, even temporarily, when children are using the playground; • All mushrooms growing up from the ground should be removed; • The wooden fence slat which has become detached from the back center side of the fencing must be reattached; • Please clear any cobwebs from play structures and equipment prior to children accessing this area; • Please ensure all bolts, screws, etc. on playground equipment are monitored for developing rust and treated or replaced, if necessary; • Please fill the three small holes located between the sidewalk and the grassy area of the playground to prevent a child from stepping into them; • Please remove the sharp screw protruding from the inside base of the wooden gate door. I stated to Ms. Oakes the infant/toddler playground will need to remain open and in use for enrolled infants and toddlers following the second playground reopening. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Four children enrolled were not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored and observed to be in compliance. An incident log was not available for review. The Ready to Go file was not current and updated. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded on 8/03/2023. A fire drill was recorded on 7/14/2023. A lockdown and shelter in place drill for the facility was recorded on 5/01/23. The most recent fire inspection was completed on 6/29/2022. Ms. Oakes provided me a copy of this inspection during the visit. I observed a sanitation inspection was last conducted on 10/18/2022 earning a Superior classification. Ms. Oakes stated the program does not currently provide transportation or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Four children enrolled were not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children.The door to the closet containing hazardous cleaning supplies and items labeled Keep Out of Reach of Children was observed to be unlocked. A rusted metal floor air grate was observed beneath the window in the science center of Space 4. Two plastic cases of diaper wipes and one small plastic bag with larger-sized googly eyes were observed accessible to children under three years of age in Space 5. A piece of plastic siding lining the left corner of the building was observed to be cracked in greater than three places and sharp to the touch. Three nails located on a wooden bench beneath a stationary shaded playhouse were observed to be raised from the wood, instead of flush, presenting a potential safety hazard. 10A NCAC 09 .0601(a) 808 The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin. Additional ivy and heavy brush was also observed in front of and growing through the full right side of the playground and a small section of the left front corner of the second playground, which can potentially encourage and harbor vermin. 15A NCAC 18A .2832(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent fire inspection was conducted on 6/29/2022. GS 110-91 1739 All records required were not available for review by a representative of the Division. An incident log was not available for review. The Ready to Go file was not current and updated. .2318(1-8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center. .0604(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/22/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Oakes during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. - You may access the Risk Management Portal to reprint and/or update your EPR plan at the following website: https://rmp.nc.gov/portal/portal.aspx# • Please monitor the outdoor environment and the inside of stationary structures for broken toys, cobwebs, and trash or debris prior to the children using the playground daily. • Please pressure wash all outdoor equipment and shade coverings used by children enrolled. • Please monitor the fencing surrounding each playground for developing rust. - Please monitor Space 6 for metal floor grates that may be developing rust. - Please remove the plastic, metallic-colored Pom-Poms from Space 6 prior to children under the age of three years old using the space, as these present a potential choking hazard. - Please complete and submit an updated Legal Designee Form and Preservice Requirements for Administrators form. - Please send me a copy of your Operational Policies. - Please limit the use of any restrictive equipment for infants and toddlers, such as bouncy seats, Exer-saucers, highchairs, Bumbo seats, etc. so children have as many opportunities to move around as possible. - Please consider using a latch on the cabinet beneath the hand washing sink during diapering in Space 2, as opposed to the cord that is currently on the cabinet. - Please monitor Space 2 for ants. - When completing medication authorization forms for topical creams and/or sprays, please remember to record specific dosages, specific times for the topical cream/spray to be used, the specific reason the medication is used (ex. “to prevent diaper rash”, “when red”, etc.), and the specific name/brand of ointment being applied. - Please document on each infant’s safe sleep record days he/she is absent from care. - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. - Please consider adding additional materials to the art and blocks (blocks and accessories) centers in Space 3. - Please post a cot list in Space 3. - Please review each posted Staff/Child Ratio worksheet in each classroom to ensure that “Voluntary Enhanced Requirements” are checked and that the Maximum Number of Children Allowed reflects the maximum space capacity documented on your floor plan for each classroom. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times