10A NCAC 09 .0601 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 164 Completed Date: 10/30/2025 Age: From 0 To 5 Total Minutes: 510 Time In: 08:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Lelia Campbell, Director and Sonya Bailey, Assistant Director. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st and 2nd shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½ years of age cared for in rooms with direct exits only. The program’s compliance history was 85% 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 activities and conversations with their teachers, playing with toys, eating lunch, participating in general routines, and napping during the visit. Two 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, Special Training including Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 9/30/2025. A fire drill was recorded 9/30/2025. The most recent shelter-in-place drill for the facility was recorded 9/30/2025. The most recent fire inspection was on 10/30/2025 and was conducted during my visit. I observed a sanitation inspection was last conducted on 2/11/2025 earning a Superior classification. A copy of the fire inspection was provided to me during the visit. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used for children of preschool age, one bird feeder was located on the ground with plastic attached which was observed to be sharp to the touch. An additional piece of broken plastic was also located on the ground and observed to be sharp to the touch. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One over-the-counter medication was observed to be stored in a cabinet greater than five feet from the ground in Space 18 (Music Bears) but in unlocked storage. 15A NCAC 18A .2820(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 Criminal Background Check Qualification Letters for two new staff members were not observed linked to the ABCMS Facility Profile within five days of hire. 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 did not include the emergency information for one staff member who works part time. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication form for one child enrolled in Space 17 and one child enrolled in Space 20 (Country Bears and Sports Bears, respectively) with an emergency medication did not include a dosage; both dosages were added during the visit. In Space 20, the medication authorization forms for two children enrolled who have emergency medications were not observed to be signed by a parent or guardian. The form for one of these children was signed during the visit by the parent. In Space 20, the medication authorization form for one child enrolled was observed to have expired on 10/14/2025. .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 11/13/25. 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 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: In Space 20 (Sports Bears), the medication authorization forms for two children enrolled who have emergency medications were not observed to be signed by a parent or guardian. In Space 20, the medication authorization form for one child enrolled was observed to have expired on 10/14/2025. In Space 20, the medication authorization form for one child enrolled with an emergency medication did not contain a recorded dosage for the medication. You may consider having a member of administration review all medication forms for completion and accuracy prior to these being stored in the classroom. The Criminal Background Check Qualification Letters for two new staff members were not observed linked to the ABCMS Facility Profile within five days of hire. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: Complete a fire drill, lockdown/ shelter-in-place drill, and playground inspection prior to 11/01/2025. Review all current medications and medication forms for children enrolled to ensure all forms are recompleted by a parent or guardian prior to their expiration dates. Ms. Campbell stated she is considering opening an already licensed classroom for children who are currently in the process of toilet training; this classroom does not currently have a changing table or changing facilities. I emailed Ms. Campbell the poster published by the NC Child Care Health & Safety Resource Center for Stand-Up Changing Procedures. I also advised Ms. Campbell to reach out to her local Environmental Health & Sanitation Inspector to determine further guidance for requirements regarding sanitation requirements involved for this classroom. Please also monitor child-size furniture for wear-and-tear which may make it difficult to clean and sanitize the surfaces of the furniture. Families in need may consider reaching out to the following community resources for food and other services during the federal shutdown: • Crisis Control Ministry (https://www.crisiscontrol.org/) • Call NC 211 for immediate assistance and to locate local food banks • The city’s website at Food Resiliency | City of Winston-Salem, NC (https://www.cityofws.org/912/Food-Resiliency) • Access Map of Forsyth County's Community Resources and Assets tool (Community Resources and Assets)(https://experience.arcgis.com/experience/47af3d29e16345a29dbbc55f3e2cd910) • Access Second Harvest's resource webpage (Second Harvest Food Bank of Metrolina)(https://www.secondharvestmetrolina.org/need-food) • For older adults, call Senior Services' help line (336) 724-2040 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. 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. 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 . 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.

G.S. 110-90 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 164 Completed Date: 10/30/2025 Age: From 0 To 5 Total Minutes: 510 Time In: 08:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Lelia Campbell, Director and Sonya Bailey, Assistant Director. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st and 2nd shift care, meets enhanced ratios, meets enhanced space, and children under 2 ½ years of age cared for in rooms with direct exits only. The program’s compliance history was 85% 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 activities and conversations with their teachers, playing with toys, eating lunch, participating in general routines, and napping during the visit. Two 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, Special Training including Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 9/30/2025. A fire drill was recorded 9/30/2025. The most recent shelter-in-place drill for the facility was recorded 9/30/2025. The most recent fire inspection was on 10/30/2025 and was conducted during my visit. I observed a sanitation inspection was last conducted on 2/11/2025 earning a Superior classification. A copy of the fire inspection was provided to me during the visit. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used for children of preschool age, one bird feeder was located on the ground with plastic attached which was observed to be sharp to the touch. An additional piece of broken plastic was also located on the ground and observed to be sharp to the touch. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One over-the-counter medication was observed to be stored in a cabinet greater than five feet from the ground in Space 18 (Music Bears) but in unlocked storage. 15A NCAC 18A .2820(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 Criminal Background Check Qualification Letters for two new staff members were not observed linked to the ABCMS Facility Profile within five days of hire. 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 did not include the emergency information for one staff member who works part time. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication form for one child enrolled in Space 17 and one child enrolled in Space 20 (Country Bears and Sports Bears, respectively) with an emergency medication did not include a dosage; both dosages were added during the visit. In Space 20, the medication authorization forms for two children enrolled who have emergency medications were not observed to be signed by a parent or guardian. The form for one of these children was signed during the visit by the parent. In Space 20, the medication authorization form for one child enrolled was observed to have expired on 10/14/2025. .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 11/13/25. 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 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: In Space 20 (Sports Bears), the medication authorization forms for two children enrolled who have emergency medications were not observed to be signed by a parent or guardian. In Space 20, the medication authorization form for one child enrolled was observed to have expired on 10/14/2025. In Space 20, the medication authorization form for one child enrolled with an emergency medication did not contain a recorded dosage for the medication. You may consider having a member of administration review all medication forms for completion and accuracy prior to these being stored in the classroom. The Criminal Background Check Qualification Letters for two new staff members were not observed linked to the ABCMS Facility Profile within five days of hire. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: Complete a fire drill, lockdown/ shelter-in-place drill, and playground inspection prior to 11/01/2025. Review all current medications and medication forms for children enrolled to ensure all forms are recompleted by a parent or guardian prior to their expiration dates. Ms. Campbell stated she is considering opening an already licensed classroom for children who are currently in the process of toilet training; this classroom does not currently have a changing table or changing facilities. I emailed Ms. Campbell the poster published by the NC Child Care Health & Safety Resource Center for Stand-Up Changing Procedures. I also advised Ms. Campbell to reach out to her local Environmental Health & Sanitation Inspector to determine further guidance for requirements regarding sanitation requirements involved for this classroom. Please also monitor child-size furniture for wear-and-tear which may make it difficult to clean and sanitize the surfaces of the furniture. Families in need may consider reaching out to the following community resources for food and other services during the federal shutdown: • Crisis Control Ministry (https://www.crisiscontrol.org/) • Call NC 211 for immediate assistance and to locate local food banks • The city’s website at Food Resiliency | City of Winston-Salem, NC (https://www.cityofws.org/912/Food-Resiliency) • Access Map of Forsyth County's Community Resources and Assets tool (Community Resources and Assets)(https://experience.arcgis.com/experience/47af3d29e16345a29dbbc55f3e2cd910) • Access Second Harvest's resource webpage (Second Harvest Food Bank of Metrolina)(https://www.secondharvestmetrolina.org/need-food) • For older adults, call Senior Services' help line (336) 724-2040 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. 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. 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 . 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: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0725-310L Visit Date: 7/25/2025 Number Present: 128 Completed Date: 7/25/2025 Age: From 0 To 5 Total Minutes: 413 Time In: 08:07 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Lelia Campbell, Director and Sonya Bailey, Assistant Director. There are allegations of violations of child care requirements related to staff: child ratios, nurture/care/ treatment of children, sanitation/health, nutrition, and children’s records. Your program currently operates with a 5-Star license effective 11/27/19. Restrictions include 1st and 2nd shift care, meets enhanced ratios and enhanced space, and children under 2 ½ years of age must be cared for in rooms with direct exits only. 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 • Staff: Child Ratios • Nurture/ Care/ Treatment of Children • Nutrition • Sanitation/ Health • Children’s Records • Capacity • Adequate/ Approved Space • License Posted • General License Requirements Nine staff members (not inclusive of Mrs. Campbell, Ms. Bailey, and Ms. Avaritt) were interviewed during the visit. All three administrators stated they were unaware of any concerns until I shared the allegations with them and that no one had shared any issues related to these allegations with them. There are allegations of violations of child care requirements related to staff: child ratios. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate, and staff: child ratios were observed in compliance during the visit. A staffing schedule for all classrooms was available for review. I reviewed the Name-To-Face sign-in/out records for four different classrooms for the last two weeks for each classroom. Mrs. Campbell stated procedures are in place to ensure classrooms remain in ratio at drop-off each morning. She shared teachers have laminated signs which they post outside their classroom doors once they have reached the maximum number of children they can have at that time. Mrs. Campbell stated teachers share this with parents as well if they come into the classroom, and they guide parents either to another classroom caring for the same age which is still within ratio and can accept more children, or they direct them to the office, and a member of administration steps into the classroom for support until the next staff member arrives. Mrs. Campbell further shared this process is outlined in the Parent Handbook, and she also encourages teachers to communicate with each other to promote autonomy in maintaining staff: child ratios, but involving administration for guidance, when needed. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. There are allegations of violations of child care requirements related to staff: nurture/care/ treatment of children. A walkthrough of the facility was conducted. Mrs. Campbell stated each administrator is assigned a hallway, and a physical check-in is done with each classroom daily. She stated the camera system is always open on each administrator’s computer each day, and that she and the other administrators monitor classrooms weekly via this system. Mrs. Campbell further shared she conducts “Pop-In” visits once per month in classrooms. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. There are allegations of violations of child care requirements related to sanitation/ health. Mrs. Campbell notified me on 7/23/2025 the facility had been having AC issues in Bear Troopers, a classroom designated for children two and three years of age. She confirmed this classroom had been temporarily closed down on 7/14/2025, and the children enrolled in Bear Troopers were moved into another licensed classroom with air conditioning. Mrs. Campbell also provided detailed information regarding steps being taken to resolve these issues. During the visit, the children enrolled in Bear Troopers were observed to be in care in Space 8, an air-conditioned and licensed space previously utilized as a Resource Room. The space was observed to have required materials for the children in care. Children enrolled were observed at two different times, once during preparation for outdoor time and water play, and once during nap time. All cots were observed to be spaced greater than 18 inches apart. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. There are allegations of violations of child care requirements related to nutrition. Breakfast and lunch service were observed during the visit. Cheerios, milk, and freshly sliced oranges were recorded on the menu for today’s date for breakfast; children enrolled were served Cheerios, milk, and mandarin oranges. Cheese pizza, salad with Ranch dressing, diced pears, and milk were recorded on the menu for today’s date. Due to a shortage of pears, an orange sticker was placed on the fruit section of the menu posted (outside of affected classrooms only) for today’s date prior to meal service, stating a substitution of peaches for children of toddler age and mixed fruit for children of preschool age. Mrs. Campbell stated menus rotate weekly, but are planned in advance quarterly. She shared the Lead Chef Supervisor also typically shares any anticipated changes ahead of time with administration. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. There are allegations of violations of child care requirements related to children’s records. Three children’s files were chosen at random during today’s visit. All required documentation was observed on file. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A paper cutter with a blade sharp to the touch was observed inside an unlatched bottom drawer of a storage cabinet in Space 8. An unlatched storage cabinet (cubby) located less than five feet from the ground was observed to have at least three tools which were 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. Sixteen (16) electrical outlets (13 located on the wall less than five feet from the ground and 3 located on a power strip located beneath an office desk) were observed without safety covers. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A plastic bag containing small keys, pennies, and other items small enough to be swallowed was observed inside the bottom cupboard (cubby) in Space 8, accessible to children two years of age. .0604(q) Consultation provided during today’s visit: • Any time a licensed space is used to care for children enrolled, this space is required to meet all Child Care Rule requirements pertaining to safety, materials, documentation posted, etc. - You may consider creating a system to help staff remember to sign in/out on the Name-To-Face sheets each day. - Please specify on your menu when fresh fruit is served versus fruit cups. 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: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0725-310L Visit Date: 7/25/2025 Number Present: 128 Completed Date: 7/25/2025 Age: From 0 To 5 Total Minutes: 413 Time In: 08:07 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Lelia Campbell, Director and Sonya Bailey, Assistant Director. There are allegations of violations of child care requirements related to staff: child ratios, nurture/care/ treatment of children, sanitation/health, nutrition, and children’s records. Your program currently operates with a 5-Star license effective 11/27/19. Restrictions include 1st and 2nd shift care, meets enhanced ratios and enhanced space, and children under 2 ½ years of age must be cared for in rooms with direct exits only. 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 • Staff: Child Ratios • Nurture/ Care/ Treatment of Children • Nutrition • Sanitation/ Health • Children’s Records • Capacity • Adequate/ Approved Space • License Posted • General License Requirements Nine staff members (not inclusive of Mrs. Campbell, Ms. Bailey, and Ms. Avaritt) were interviewed during the visit. All three administrators stated they were unaware of any concerns until I shared the allegations with them and that no one had shared any issues related to these allegations with them. There are allegations of violations of child care requirements related to staff: child ratios. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate, and staff: child ratios were observed in compliance during the visit. A staffing schedule for all classrooms was available for review. I reviewed the Name-To-Face sign-in/out records for four different classrooms for the last two weeks for each classroom. Mrs. Campbell stated procedures are in place to ensure classrooms remain in ratio at drop-off each morning. She shared teachers have laminated signs which they post outside their classroom doors once they have reached the maximum number of children they can have at that time. Mrs. Campbell stated teachers share this with parents as well if they come into the classroom, and they guide parents either to another classroom caring for the same age which is still within ratio and can accept more children, or they direct them to the office, and a member of administration steps into the classroom for support until the next staff member arrives. Mrs. Campbell further shared this process is outlined in the Parent Handbook, and she also encourages teachers to communicate with each other to promote autonomy in maintaining staff: child ratios, but involving administration for guidance, when needed. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. There are allegations of violations of child care requirements related to staff: nurture/care/ treatment of children. A walkthrough of the facility was conducted. Mrs. Campbell stated each administrator is assigned a hallway, and a physical check-in is done with each classroom daily. She stated the camera system is always open on each administrator’s computer each day, and that she and the other administrators monitor classrooms weekly via this system. Mrs. Campbell further shared she conducts “Pop-In” visits once per month in classrooms. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. There are allegations of violations of child care requirements related to sanitation/ health. Mrs. Campbell notified me on 7/23/2025 the facility had been having AC issues in Bear Troopers, a classroom designated for children two and three years of age. She confirmed this classroom had been temporarily closed down on 7/14/2025, and the children enrolled in Bear Troopers were moved into another licensed classroom with air conditioning. Mrs. Campbell also provided detailed information regarding steps being taken to resolve these issues. During the visit, the children enrolled in Bear Troopers were observed to be in care in Space 8, an air-conditioned and licensed space previously utilized as a Resource Room. The space was observed to have required materials for the children in care. Children enrolled were observed at two different times, once during preparation for outdoor time and water play, and once during nap time. All cots were observed to be spaced greater than 18 inches apart. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. There are allegations of violations of child care requirements related to nutrition. Breakfast and lunch service were observed during the visit. Cheerios, milk, and freshly sliced oranges were recorded on the menu for today’s date for breakfast; children enrolled were served Cheerios, milk, and mandarin oranges. Cheese pizza, salad with Ranch dressing, diced pears, and milk were recorded on the menu for today’s date. Due to a shortage of pears, an orange sticker was placed on the fruit section of the menu posted (outside of affected classrooms only) for today’s date prior to meal service, stating a substitution of peaches for children of toddler age and mixed fruit for children of preschool age. Mrs. Campbell stated menus rotate weekly, but are planned in advance quarterly. She shared the Lead Chef Supervisor also typically shares any anticipated changes ahead of time with administration. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. There are allegations of violations of child care requirements related to children’s records. Three children’s files were chosen at random during today’s visit. All required documentation was observed on file. Based on information received from interviews and direct observations made during the visit, this allegation was unable to be substantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A paper cutter with a blade sharp to the touch was observed inside an unlatched bottom drawer of a storage cabinet in Space 8. An unlatched storage cabinet (cubby) located less than five feet from the ground was observed to have at least three tools which were 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. Sixteen (16) electrical outlets (13 located on the wall less than five feet from the ground and 3 located on a power strip located beneath an office desk) were observed without safety covers. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A plastic bag containing small keys, pennies, and other items small enough to be swallowed was observed inside the bottom cupboard (cubby) in Space 8, accessible to children two years of age. .0604(q) Consultation provided during today’s visit: • Any time a licensed space is used to care for children enrolled, this space is required to meet all Child Care Rule requirements pertaining to safety, materials, documentation posted, etc. - You may consider creating a system to help staff remember to sign in/out on the Name-To-Face sheets each day. - Please specify on your menu when fresh fruit is served versus fruit cups. 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: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/5/2025 Number Present: 143 Completed Date: 5/5/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:15 AM Time Out: 04:50 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. Lelia Campbell, Center Director, and Sonya Bailey, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 2/11/2025 with a “Superior” classification. The last fire inspection was conducted 10/30/2024, and your facility was approved for daytime care only. Ms. Bailey provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of 5/05/25. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Fifteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, playing outdoors, 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. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. This program does not currently participate in off-premise or aquatic activities. This program does transport six children who are School Age enrolled at this time. Due to time restrictions, transportation was not monitored during today’s visit. A follow-up visit will be conducted to monitor transportation requirements. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/30/2025. A shelter-in-place drill was completed on 3/22/2024. A playground inspection was completed on 4/22/2025. The following violations were cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria used by children, one bottle of bleach spray labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground in latched, but not locked, storage. In Space 17, one canister of disinfectant wipes and one bottle of Clorox bleach spray were observed stored in an unlocked cabinet greater than five feet from the ground. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Space 17 and one child enrolled in Space 19 did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 8, the medication authorization form for one child enrolled expired on 1/04/2025. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Foam blocks were observed to have teeth marks and were accessible to children less than three years of age on the top floor of the multipurpose play area in the main lobby, in Space 9, and in Space 11. In Space 6, two clear plastic pieces of a floor mat were observed to be torn and accessible to children one year of age. .0604(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The van used to transport children enrolled of School Age was observed not to have a fire extinguisher in the vehicle. 10A NCAC 09 .1003(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Spaces 8 and 11, the medical action plan for one child enrolled were not updated annually. In Space 20, the name of the person who completed the medical action plan was not recorded; the parent completed this information during the visit. .0801(b) 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. The van used to transport children enrolled of School Age was observed not to have a No Smoking Sign in the vehicle. .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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/19/2025. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 8, the medical action plan and medication authorization form for one child enrolled both expired on 1/04/2025. In Space 11, the medical action plan for one child enrolled had expired. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. In Space 20, the medical action plan for one child enrolled does not contain the name of the person who completed the action plan. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider monitoring all medication documentation as it arrives and prior to parents leaving it with teachers and/or administration to ensure all records remain complete and current. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge; Mrs. Campbell stated a work order has been placed to request the repair of this door. You may consider discontinuing use of this cabinet/cabinet door until repairs have been made. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. It is important for the outdoor learning environment to be safe for children to explore in and engage with. You may consider encouraging staff to make this a part of their outdoor daily playground check, prior to children using this space. Consultation Provided During Visit: If the facility’s protocol is to have one staff member administer medication to a child and a second staff member witness the administration of the medication to the same child, please record on the medication administration log which staff member administered the medication, and which staff member was the witness. Please consider trimming the brush lining each playground at least one foot back from the fencing to discourage the harboring of vermin. You may consider pressure washing each of the outdoor art easels to remove all mildew and buildup. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary and enrollment worksheet 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 .0803 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/5/2025 Number Present: 143 Completed Date: 5/5/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:15 AM Time Out: 04:50 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. Lelia Campbell, Center Director, and Sonya Bailey, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 2/11/2025 with a “Superior” classification. The last fire inspection was conducted 10/30/2024, and your facility was approved for daytime care only. Ms. Bailey provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of 5/05/25. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Fifteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, playing outdoors, 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. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. This program does not currently participate in off-premise or aquatic activities. This program does transport six children who are School Age enrolled at this time. Due to time restrictions, transportation was not monitored during today’s visit. A follow-up visit will be conducted to monitor transportation requirements. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/30/2025. A shelter-in-place drill was completed on 3/22/2024. A playground inspection was completed on 4/22/2025. The following violations were cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria used by children, one bottle of bleach spray labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground in latched, but not locked, storage. In Space 17, one canister of disinfectant wipes and one bottle of Clorox bleach spray were observed stored in an unlocked cabinet greater than five feet from the ground. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Space 17 and one child enrolled in Space 19 did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 8, the medication authorization form for one child enrolled expired on 1/04/2025. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Foam blocks were observed to have teeth marks and were accessible to children less than three years of age on the top floor of the multipurpose play area in the main lobby, in Space 9, and in Space 11. In Space 6, two clear plastic pieces of a floor mat were observed to be torn and accessible to children one year of age. .0604(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The van used to transport children enrolled of School Age was observed not to have a fire extinguisher in the vehicle. 10A NCAC 09 .1003(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Spaces 8 and 11, the medical action plan for one child enrolled were not updated annually. In Space 20, the name of the person who completed the medical action plan was not recorded; the parent completed this information during the visit. .0801(b) 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. The van used to transport children enrolled of School Age was observed not to have a No Smoking Sign in the vehicle. .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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/19/2025. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 8, the medical action plan and medication authorization form for one child enrolled both expired on 1/04/2025. In Space 11, the medical action plan for one child enrolled had expired. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. In Space 20, the medical action plan for one child enrolled does not contain the name of the person who completed the action plan. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider monitoring all medication documentation as it arrives and prior to parents leaving it with teachers and/or administration to ensure all records remain complete and current. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge; Mrs. Campbell stated a work order has been placed to request the repair of this door. You may consider discontinuing use of this cabinet/cabinet door until repairs have been made. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. It is important for the outdoor learning environment to be safe for children to explore in and engage with. You may consider encouraging staff to make this a part of their outdoor daily playground check, prior to children using this space. Consultation Provided During Visit: If the facility’s protocol is to have one staff member administer medication to a child and a second staff member witness the administration of the medication to the same child, please record on the medication administration log which staff member administered the medication, and which staff member was the witness. Please consider trimming the brush lining each playground at least one foot back from the fencing to discourage the harboring of vermin. You may consider pressure washing each of the outdoor art easels to remove all mildew and buildup. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary and enrollment worksheet 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 .1003 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/5/2025 Number Present: 143 Completed Date: 5/5/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:15 AM Time Out: 04:50 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. Lelia Campbell, Center Director, and Sonya Bailey, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 2/11/2025 with a “Superior” classification. The last fire inspection was conducted 10/30/2024, and your facility was approved for daytime care only. Ms. Bailey provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of 5/05/25. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Fifteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, playing outdoors, 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. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. This program does not currently participate in off-premise or aquatic activities. This program does transport six children who are School Age enrolled at this time. Due to time restrictions, transportation was not monitored during today’s visit. A follow-up visit will be conducted to monitor transportation requirements. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/30/2025. A shelter-in-place drill was completed on 3/22/2024. A playground inspection was completed on 4/22/2025. The following violations were cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria used by children, one bottle of bleach spray labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground in latched, but not locked, storage. In Space 17, one canister of disinfectant wipes and one bottle of Clorox bleach spray were observed stored in an unlocked cabinet greater than five feet from the ground. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Space 17 and one child enrolled in Space 19 did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 8, the medication authorization form for one child enrolled expired on 1/04/2025. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Foam blocks were observed to have teeth marks and were accessible to children less than three years of age on the top floor of the multipurpose play area in the main lobby, in Space 9, and in Space 11. In Space 6, two clear plastic pieces of a floor mat were observed to be torn and accessible to children one year of age. .0604(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The van used to transport children enrolled of School Age was observed not to have a fire extinguisher in the vehicle. 10A NCAC 09 .1003(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Spaces 8 and 11, the medical action plan for one child enrolled were not updated annually. In Space 20, the name of the person who completed the medical action plan was not recorded; the parent completed this information during the visit. .0801(b) 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. The van used to transport children enrolled of School Age was observed not to have a No Smoking Sign in the vehicle. .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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/19/2025. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 8, the medical action plan and medication authorization form for one child enrolled both expired on 1/04/2025. In Space 11, the medical action plan for one child enrolled had expired. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. In Space 20, the medical action plan for one child enrolled does not contain the name of the person who completed the action plan. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider monitoring all medication documentation as it arrives and prior to parents leaving it with teachers and/or administration to ensure all records remain complete and current. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge; Mrs. Campbell stated a work order has been placed to request the repair of this door. You may consider discontinuing use of this cabinet/cabinet door until repairs have been made. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. It is important for the outdoor learning environment to be safe for children to explore in and engage with. You may consider encouraging staff to make this a part of their outdoor daily playground check, prior to children using this space. Consultation Provided During Visit: If the facility’s protocol is to have one staff member administer medication to a child and a second staff member witness the administration of the medication to the same child, please record on the medication administration log which staff member administered the medication, and which staff member was the witness. Please consider trimming the brush lining each playground at least one foot back from the fencing to discourage the harboring of vermin. You may consider pressure washing each of the outdoor art easels to remove all mildew and buildup. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary and enrollment worksheet 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: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/5/2025 Number Present: 143 Completed Date: 5/5/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:15 AM Time Out: 04:50 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. Lelia Campbell, Center Director, and Sonya Bailey, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 2/11/2025 with a “Superior” classification. The last fire inspection was conducted 10/30/2024, and your facility was approved for daytime care only. Ms. Bailey provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of 5/05/25. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Fifteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, playing outdoors, 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. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. This program does not currently participate in off-premise or aquatic activities. This program does transport six children who are School Age enrolled at this time. Due to time restrictions, transportation was not monitored during today’s visit. A follow-up visit will be conducted to monitor transportation requirements. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/30/2025. A shelter-in-place drill was completed on 3/22/2024. A playground inspection was completed on 4/22/2025. The following violations were cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria used by children, one bottle of bleach spray labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground in latched, but not locked, storage. In Space 17, one canister of disinfectant wipes and one bottle of Clorox bleach spray were observed stored in an unlocked cabinet greater than five feet from the ground. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Space 17 and one child enrolled in Space 19 did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 8, the medication authorization form for one child enrolled expired on 1/04/2025. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Foam blocks were observed to have teeth marks and were accessible to children less than three years of age on the top floor of the multipurpose play area in the main lobby, in Space 9, and in Space 11. In Space 6, two clear plastic pieces of a floor mat were observed to be torn and accessible to children one year of age. .0604(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The van used to transport children enrolled of School Age was observed not to have a fire extinguisher in the vehicle. 10A NCAC 09 .1003(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Spaces 8 and 11, the medical action plan for one child enrolled were not updated annually. In Space 20, the name of the person who completed the medical action plan was not recorded; the parent completed this information during the visit. .0801(b) 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. The van used to transport children enrolled of School Age was observed not to have a No Smoking Sign in the vehicle. .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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/19/2025. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 8, the medical action plan and medication authorization form for one child enrolled both expired on 1/04/2025. In Space 11, the medical action plan for one child enrolled had expired. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. In Space 20, the medical action plan for one child enrolled does not contain the name of the person who completed the action plan. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider monitoring all medication documentation as it arrives and prior to parents leaving it with teachers and/or administration to ensure all records remain complete and current. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge; Mrs. Campbell stated a work order has been placed to request the repair of this door. You may consider discontinuing use of this cabinet/cabinet door until repairs have been made. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. It is important for the outdoor learning environment to be safe for children to explore in and engage with. You may consider encouraging staff to make this a part of their outdoor daily playground check, prior to children using this space. Consultation Provided During Visit: If the facility’s protocol is to have one staff member administer medication to a child and a second staff member witness the administration of the medication to the same child, please record on the medication administration log which staff member administered the medication, and which staff member was the witness. Please consider trimming the brush lining each playground at least one foot back from the fencing to discourage the harboring of vermin. You may consider pressure washing each of the outdoor art easels to remove all mildew and buildup. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary and enrollment worksheet 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

NC GS 110-90 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/5/2025 Number Present: 143 Completed Date: 5/5/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:15 AM Time Out: 04:50 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. Lelia Campbell, Center Director, and Sonya Bailey, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 2/11/2025 with a “Superior” classification. The last fire inspection was conducted 10/30/2024, and your facility was approved for daytime care only. Ms. Bailey provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of 5/05/25. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Fifteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, playing outdoors, 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. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. This program does not currently participate in off-premise or aquatic activities. This program does transport six children who are School Age enrolled at this time. Due to time restrictions, transportation was not monitored during today’s visit. A follow-up visit will be conducted to monitor transportation requirements. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/30/2025. A shelter-in-place drill was completed on 3/22/2024. A playground inspection was completed on 4/22/2025. The following violations were cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria used by children, one bottle of bleach spray labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground in latched, but not locked, storage. In Space 17, one canister of disinfectant wipes and one bottle of Clorox bleach spray were observed stored in an unlocked cabinet greater than five feet from the ground. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Space 17 and one child enrolled in Space 19 did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 8, the medication authorization form for one child enrolled expired on 1/04/2025. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Foam blocks were observed to have teeth marks and were accessible to children less than three years of age on the top floor of the multipurpose play area in the main lobby, in Space 9, and in Space 11. In Space 6, two clear plastic pieces of a floor mat were observed to be torn and accessible to children one year of age. .0604(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The van used to transport children enrolled of School Age was observed not to have a fire extinguisher in the vehicle. 10A NCAC 09 .1003(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Spaces 8 and 11, the medical action plan for one child enrolled were not updated annually. In Space 20, the name of the person who completed the medical action plan was not recorded; the parent completed this information during the visit. .0801(b) 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. The van used to transport children enrolled of School Age was observed not to have a No Smoking Sign in the vehicle. .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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/19/2025. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 8, the medical action plan and medication authorization form for one child enrolled both expired on 1/04/2025. In Space 11, the medical action plan for one child enrolled had expired. In Space 17, the medication authorization form for one child enrolled expired on 3/13/2025. In Space 20, the medical action plan for one child enrolled does not contain the name of the person who completed the action plan. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider monitoring all medication documentation as it arrives and prior to parents leaving it with teachers and/or administration to ensure all records remain complete and current. One cabinet door in Space 8, located over the handwashing sink, was observed to have come disconnected from one hinge; Mrs. Campbell stated a work order has been placed to request the repair of this door. You may consider discontinuing use of this cabinet/cabinet door until repairs have been made. On the playground used by children one year of age, two wasp nests were observed (one nest with a live wasp inside), inside the roofs of two shade structures. On the playground used by children of preschool age, the siding of the landing of the stationary play structure was observed to be cracked and rusting and/or beginning to rust in two places. It is important for the outdoor learning environment to be safe for children to explore in and engage with. You may consider encouraging staff to make this a part of their outdoor daily playground check, prior to children using this space. Consultation Provided During Visit: If the facility’s protocol is to have one staff member administer medication to a child and a second staff member witness the administration of the medication to the same child, please record on the medication administration log which staff member administered the medication, and which staff member was the witness. Please consider trimming the brush lining each playground at least one foot back from the fencing to discourage the harboring of vermin. You may consider pressure washing each of the outdoor art easels to remove all mildew and buildup. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary and enrollment worksheet 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: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 149 Completed Date: 10/22/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:30 AM Time Out: 04:00 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, Childcare Consultant with Lelia Campbell, Director and Sonya Baily, Assistant Director. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st and 2nd shift care, meets enhanced ratios, meets enhanced space, children under 2 ½ years of age in rooms with direct exits only. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and eating lunch 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, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 10/04/2024. A fire drill was recorded 10/04/2024. A lockdown drill for the facility was recorded 9/30/2024. The most recent fire inspection was on 12/19/2023. I observed a sanitation inspection was last conducted on 7/03/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled of preschool and school age, one plastic garden pot was observed to be cracked and sharp to the touch. In Space 7, a classroom designated for children one year of age, a staple was observed on top of a children’s play shelf. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 19, the medication authorization forms for two emergency medications for one child enrolled did not contain a parent signature. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. In Space 2, two incident reports were not observed to be recorded on the incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 5, one plastic bag and one plastic wrapper were observed in an unlatched cupboard less than five feet from the ground, accessible to children under three years of age. In Space 11, one plastic wrapper was observed in an unlatched cupboard less than five feet from the ground, accessible to children under three years of age. .0604(q) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 19, the medication authorization forms for two emergency medications for one child enrolled did not contain a parent signature. The parent signed both forms upon pick-up. In Space 5, one plastic bag and one plastic wrapper were observed in an unlatched cupboard less than five feet from the ground, accessible to children under three years of age. In Space 11, one plastic wrapper was observed in an unlatched cupboard less than five feet from the ground, accessible to children under three years of age. Each of these items was made inaccessible to children during the visit. On the playground used by children enrolled of preschool and school age, one plastic garden pot was observed to be cracked and sharp to the touch. In Space 7, a classroom designated for children one year of age, a staple was observed on top of a children’s play shelf. The garden pot was removed from the playground by Ms. Campbell during the visit, and the staple was discarded by the teacher during the visit. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Campbell during the visit: • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7)(f) Please remove all staff and child information from your Ready to Go file for either staff who are no longer employed, or for children who are no longer enrolled. Please review all children’s medication information and medical action plans on file to ensure copies are clear, and important emergency information is legible. • 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 .0803 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 149 Completed Date: 10/22/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:30 AM Time Out: 04:00 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, Childcare Consultant with Lelia Campbell, Director and Sonya Baily, Assistant Director. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st and 2nd shift care, meets enhanced ratios, meets enhanced space, children under 2 ½ years of age in rooms with direct exits only. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and eating lunch 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, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 10/04/2024. A fire drill was recorded 10/04/2024. A lockdown drill for the facility was recorded 9/30/2024. The most recent fire inspection was on 12/19/2023. I observed a sanitation inspection was last conducted on 7/03/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled of preschool and school age, one plastic garden pot was observed to be cracked and sharp to the touch. In Space 7, a classroom designated for children one year of age, a staple was observed on top of a children’s play shelf. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In Space 19, the medication authorization forms for two emergency medications for one child enrolled did not contain a parent signature. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. In Space 2, two incident reports were not observed to be recorded on the incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 5, one plastic bag and one plastic wrapper were observed in an unlatched cupboard less than five feet from the ground, accessible to children under three years of age. In Space 11, one plastic wrapper was observed in an unlatched cupboard less than five feet from the ground, accessible to children under three years of age. .0604(q) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 19, the medication authorization forms for two emergency medications for one child enrolled did not contain a parent signature. The parent signed both forms upon pick-up. In Space 5, one plastic bag and one plastic wrapper were observed in an unlatched cupboard less than five feet from the ground, accessible to children under three years of age. In Space 11, one plastic wrapper was observed in an unlatched cupboard less than five feet from the ground, accessible to children under three years of age. Each of these items was made inaccessible to children during the visit. On the playground used by children enrolled of preschool and school age, one plastic garden pot was observed to be cracked and sharp to the touch. In Space 7, a classroom designated for children one year of age, a staple was observed on top of a children’s play shelf. The garden pot was removed from the playground by Ms. Campbell during the visit, and the staple was discarded by the teacher during the visit. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Campbell during the visit: • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7)(f) Please remove all staff and child information from your Ready to Go file for either staff who are no longer employed, or for children who are no longer enrolled. Please review all children’s medication information and medical action plans on file to ensure copies are clear, and important emergency information is legible. • 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: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0624-146L Visit Date: 6/21/2024 Number Present: 172 Completed Date: 6/21/2024 Age: From 0 To 5 Total Minutes: 290 Time In: 09:10 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Lelia Campbell, Director. The allegations are as follows: There is a concern related an unsafe environment. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st and 2nd shift care, meets enhanced ratios, meets enhanced space, and children under 2 years old in rooms with direct exits only. The program’s compliance history was 84 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • License Posted • General License Requirements There is a concern related an unsafe environment. Ms. Campbell stated she did not remember receiving any concerns from parents related to safety, but that she had recently received a question regarding the structural integrity of a leaning light pole from the parent of an infant enrolled at the facility. During today’s visit, I observed a metal light pole located in the front area of the right side of the building; this pole was observed to be leaning at an angle toward the building where care occurs for infants enrolled. The mounting of this pole was not observed to be physically damaged, but was observed to have rusting and flaking paint. The metal light pole was observed to have become partially detached from the base; the base of this pole was also observed to be rusted and to have flaking paint. Ms. Campbell stated a vehicle accidentally hit the pole on 4/09/2024 (no children were involved), causing it to lean. She stated when she is made aware of any potential safety hazard occurring on the premises, she submits a ticket identified as a “priority” to Plant Engineering/ Environmental Sciences for Novant Health. Plant Engineering/ Environmental Services came out to the facility to assess the structural integrity of the pole on 4/09/2024. I observed an email from Plant Engineering/ Environmental Services during my visit stating the light pole was assessed, and the following results were recorded: the light pole had damage due to its age; the base and mounting were intact and secure; the lighting is still in operation at this time; an order for a new light pole has been placed; and the pole will be replaced as soon as it is received. Based on the above information, this allegation was substantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I observed a metal light pole located in the front area of the right side of the building; this pole was observed to be leaning at an angle toward the building where care occurs for infants enrolled. The metal light pole was observed to have become partially detached from the base; the base of this pole was also observed to be rusted and to have flaking paint, creating a potential safety hazard. 10A NCAC 09 .0601(a) 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 7/05/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: I observed a metal light pole located in the front area of the right side of the building; this pole was observed to be leaning at an angle toward the building where care occurs for infants enrolled. The mounting of this pole was not observed to be physically damaged, but were observed to have rusting and flaking paint. The metal light pole was observed to have become partially detached from the base; the base of this pole was also observed to be rusted and to have flaking paint. It is imperative that a safe indoor and outdoor environment be provided for children enrolled at all times and for any potential safety hazards to be addressed immediately. An email from Plant Engineering/ Environmental Services was observed stating an order for a new light pole has been placed, and the pole will be replaced as soon as it is received. You may consider creating a plan of action to proactively address similar issues moving forward, should they arise. Consultation provided during today’s visit: It was shared during today’s visit the facility was placed on a real lockdown situation in September, 2023. We discussed the procedures for lockdown, including, but not limited to, how staff are notified of the lockdown, contacting 911, notification of corporate representatives, and notification of parents via a parent communication app for Novant Health. I reviewed the facility’s Emergency Preparedness and Response Plan, inclusive of Lockdown Plans and Procedures during the visit. I observed communication sent to parents regarding the lockdown by a corporate representative at 3:54 p.m. Although the plan was followed, you may consider adding documentation to this plan clarifying when parents will be notified of a lockdown situation and how they will remain updated regarding the situation. • 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.

NC GS 110-90 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0624-146L Visit Date: 6/21/2024 Number Present: 172 Completed Date: 6/21/2024 Age: From 0 To 5 Total Minutes: 290 Time In: 09:10 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Lelia Campbell, Director. The allegations are as follows: There is a concern related an unsafe environment. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st and 2nd shift care, meets enhanced ratios, meets enhanced space, and children under 2 years old in rooms with direct exits only. The program’s compliance history was 84 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • License Posted • General License Requirements There is a concern related an unsafe environment. Ms. Campbell stated she did not remember receiving any concerns from parents related to safety, but that she had recently received a question regarding the structural integrity of a leaning light pole from the parent of an infant enrolled at the facility. During today’s visit, I observed a metal light pole located in the front area of the right side of the building; this pole was observed to be leaning at an angle toward the building where care occurs for infants enrolled. The mounting of this pole was not observed to be physically damaged, but was observed to have rusting and flaking paint. The metal light pole was observed to have become partially detached from the base; the base of this pole was also observed to be rusted and to have flaking paint. Ms. Campbell stated a vehicle accidentally hit the pole on 4/09/2024 (no children were involved), causing it to lean. She stated when she is made aware of any potential safety hazard occurring on the premises, she submits a ticket identified as a “priority” to Plant Engineering/ Environmental Sciences for Novant Health. Plant Engineering/ Environmental Services came out to the facility to assess the structural integrity of the pole on 4/09/2024. I observed an email from Plant Engineering/ Environmental Services during my visit stating the light pole was assessed, and the following results were recorded: the light pole had damage due to its age; the base and mounting were intact and secure; the lighting is still in operation at this time; an order for a new light pole has been placed; and the pole will be replaced as soon as it is received. Based on the above information, this allegation was substantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I observed a metal light pole located in the front area of the right side of the building; this pole was observed to be leaning at an angle toward the building where care occurs for infants enrolled. The metal light pole was observed to have become partially detached from the base; the base of this pole was also observed to be rusted and to have flaking paint, creating a potential safety hazard. 10A NCAC 09 .0601(a) 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 7/05/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: I observed a metal light pole located in the front area of the right side of the building; this pole was observed to be leaning at an angle toward the building where care occurs for infants enrolled. The mounting of this pole was not observed to be physically damaged, but were observed to have rusting and flaking paint. The metal light pole was observed to have become partially detached from the base; the base of this pole was also observed to be rusted and to have flaking paint. It is imperative that a safe indoor and outdoor environment be provided for children enrolled at all times and for any potential safety hazards to be addressed immediately. An email from Plant Engineering/ Environmental Services was observed stating an order for a new light pole has been placed, and the pole will be replaced as soon as it is received. You may consider creating a plan of action to proactively address similar issues moving forward, should they arise. Consultation provided during today’s visit: It was shared during today’s visit the facility was placed on a real lockdown situation in September, 2023. We discussed the procedures for lockdown, including, but not limited to, how staff are notified of the lockdown, contacting 911, notification of corporate representatives, and notification of parents via a parent communication app for Novant Health. I reviewed the facility’s Emergency Preparedness and Response Plan, inclusive of Lockdown Plans and Procedures during the visit. I observed communication sent to parents regarding the lockdown by a corporate representative at 3:54 p.m. Although the plan was followed, you may consider adding documentation to this plan clarifying when parents will be notified of a lockdown situation and how they will remain updated regarding the situation. • 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: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 151 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:25 AM Time Out: 04:15 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. Lelia Campbell, Center Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/22/2023 with a “Superior” classification. The last fire inspection was conducted 12/19/2023, and your facility was approved for daytime care only. Ms. Campbell provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent as of 5/06/24. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Sixteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, and eating lunch 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. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities. This program does transport children who are School Age enrolled at this time. One microbus (License Plate #JFZ7321 is used to transport children to and from school. Vehicle insurance was observed to have an effective date of 7/01/2023 and an expiration date of 7/01/2024. All transportation requirements were monitored and found to be in compliance. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/4/2024. A lockdown drill was completed on 3/22/2024. A playground inspection was completed on 4/24/2024. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 10, two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. .0510(d)(1) 807 A safe indoor and outdoor environment was not provided for the children. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age. 10A NCAC 09 .0601(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not observed on file for three children enrolled before or within 30 days after admission. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A current training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not on file for four existing employees. A training certificate for Topic #2 Medication Administration in Child Care, was not observed on file for one existing employee. .1103(b) 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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/21/2024. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 10, two children enrolled did not have a time of arrival recorded. The teacher in Space 10 went back and recorded the times the two children arrived while I was in the classroom. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. Ms. Campbell stated the facility had received corporate guidance that the Medication Administration Permission Form used for each child also served as the Medical Action Plan. I clarified during the visit the Medication Administration Permission Form and Medical Action Plan are separate documents, each containing specific criteria in Child Care Rule. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider creating a routine schedule for monitoring all classroom documentation to ensure all records remain complete and current. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. This cabinet was locked during the visit. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age; Ms. Campbell removed this from the outdoor environment during the visit. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. Two additional literacy activities were added to this space during the visit. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Campbell during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Nicole Avaritt, Center Supervisor, confirmed during today’s visit that the email was received and provided information that testing was completed on 8/29/2023. 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 .0302 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 151 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:25 AM Time Out: 04:15 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. Lelia Campbell, Center Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/22/2023 with a “Superior” classification. The last fire inspection was conducted 12/19/2023, and your facility was approved for daytime care only. Ms. Campbell provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent as of 5/06/24. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Sixteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, and eating lunch 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. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities. This program does transport children who are School Age enrolled at this time. One microbus (License Plate #JFZ7321 is used to transport children to and from school. Vehicle insurance was observed to have an effective date of 7/01/2023 and an expiration date of 7/01/2024. All transportation requirements were monitored and found to be in compliance. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/4/2024. A lockdown drill was completed on 3/22/2024. A playground inspection was completed on 4/24/2024. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 10, two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. .0510(d)(1) 807 A safe indoor and outdoor environment was not provided for the children. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age. 10A NCAC 09 .0601(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not observed on file for three children enrolled before or within 30 days after admission. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A current training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not on file for four existing employees. A training certificate for Topic #2 Medication Administration in Child Care, was not observed on file for one existing employee. .1103(b) 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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/21/2024. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 10, two children enrolled did not have a time of arrival recorded. The teacher in Space 10 went back and recorded the times the two children arrived while I was in the classroom. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. Ms. Campbell stated the facility had received corporate guidance that the Medication Administration Permission Form used for each child also served as the Medical Action Plan. I clarified during the visit the Medication Administration Permission Form and Medical Action Plan are separate documents, each containing specific criteria in Child Care Rule. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider creating a routine schedule for monitoring all classroom documentation to ensure all records remain complete and current. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. This cabinet was locked during the visit. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age; Ms. Campbell removed this from the outdoor environment during the visit. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. Two additional literacy activities were added to this space during the visit. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Campbell during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Nicole Avaritt, Center Supervisor, confirmed during today’s visit that the email was received and provided information that testing was completed on 8/29/2023. 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 .0801 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 151 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:25 AM Time Out: 04:15 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. Lelia Campbell, Center Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/22/2023 with a “Superior” classification. The last fire inspection was conducted 12/19/2023, and your facility was approved for daytime care only. Ms. Campbell provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent as of 5/06/24. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Sixteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, and eating lunch 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. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities. This program does transport children who are School Age enrolled at this time. One microbus (License Plate #JFZ7321 is used to transport children to and from school. Vehicle insurance was observed to have an effective date of 7/01/2023 and an expiration date of 7/01/2024. All transportation requirements were monitored and found to be in compliance. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/4/2024. A lockdown drill was completed on 3/22/2024. A playground inspection was completed on 4/24/2024. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 10, two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. .0510(d)(1) 807 A safe indoor and outdoor environment was not provided for the children. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age. 10A NCAC 09 .0601(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not observed on file for three children enrolled before or within 30 days after admission. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A current training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not on file for four existing employees. A training certificate for Topic #2 Medication Administration in Child Care, was not observed on file for one existing employee. .1103(b) 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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/21/2024. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 10, two children enrolled did not have a time of arrival recorded. The teacher in Space 10 went back and recorded the times the two children arrived while I was in the classroom. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. Ms. Campbell stated the facility had received corporate guidance that the Medication Administration Permission Form used for each child also served as the Medical Action Plan. I clarified during the visit the Medication Administration Permission Form and Medical Action Plan are separate documents, each containing specific criteria in Child Care Rule. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider creating a routine schedule for monitoring all classroom documentation to ensure all records remain complete and current. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. This cabinet was locked during the visit. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age; Ms. Campbell removed this from the outdoor environment during the visit. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. Two additional literacy activities were added to this space during the visit. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Campbell during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Nicole Avaritt, Center Supervisor, confirmed during today’s visit that the email was received and provided information that testing was completed on 8/29/2023. 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 .0803 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 151 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:25 AM Time Out: 04:15 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. Lelia Campbell, Center Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/22/2023 with a “Superior” classification. The last fire inspection was conducted 12/19/2023, and your facility was approved for daytime care only. Ms. Campbell provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent as of 5/06/24. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Sixteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, and eating lunch 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. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities. This program does transport children who are School Age enrolled at this time. One microbus (License Plate #JFZ7321 is used to transport children to and from school. Vehicle insurance was observed to have an effective date of 7/01/2023 and an expiration date of 7/01/2024. All transportation requirements were monitored and found to be in compliance. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/4/2024. A lockdown drill was completed on 3/22/2024. A playground inspection was completed on 4/24/2024. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 10, two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. .0510(d)(1) 807 A safe indoor and outdoor environment was not provided for the children. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age. 10A NCAC 09 .0601(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not observed on file for three children enrolled before or within 30 days after admission. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A current training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not on file for four existing employees. A training certificate for Topic #2 Medication Administration in Child Care, was not observed on file for one existing employee. .1103(b) 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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/21/2024. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 10, two children enrolled did not have a time of arrival recorded. The teacher in Space 10 went back and recorded the times the two children arrived while I was in the classroom. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. Ms. Campbell stated the facility had received corporate guidance that the Medication Administration Permission Form used for each child also served as the Medical Action Plan. I clarified during the visit the Medication Administration Permission Form and Medical Action Plan are separate documents, each containing specific criteria in Child Care Rule. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider creating a routine schedule for monitoring all classroom documentation to ensure all records remain complete and current. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. This cabinet was locked during the visit. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age; Ms. Campbell removed this from the outdoor environment during the visit. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. Two additional literacy activities were added to this space during the visit. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Campbell during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Nicole Avaritt, Center Supervisor, confirmed during today’s visit that the email was received and provided information that testing was completed on 8/29/2023. 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

GS110-91 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 151 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:25 AM Time Out: 04:15 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. Lelia Campbell, Center Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/22/2023 with a “Superior” classification. The last fire inspection was conducted 12/19/2023, and your facility was approved for daytime care only. Ms. Campbell provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent as of 5/06/24. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Sixteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, and eating lunch 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. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities. This program does transport children who are School Age enrolled at this time. One microbus (License Plate #JFZ7321 is used to transport children to and from school. Vehicle insurance was observed to have an effective date of 7/01/2023 and an expiration date of 7/01/2024. All transportation requirements were monitored and found to be in compliance. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/4/2024. A lockdown drill was completed on 3/22/2024. A playground inspection was completed on 4/24/2024. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 10, two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. .0510(d)(1) 807 A safe indoor and outdoor environment was not provided for the children. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age. 10A NCAC 09 .0601(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not observed on file for three children enrolled before or within 30 days after admission. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A current training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not on file for four existing employees. A training certificate for Topic #2 Medication Administration in Child Care, was not observed on file for one existing employee. .1103(b) 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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/21/2024. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 10, two children enrolled did not have a time of arrival recorded. The teacher in Space 10 went back and recorded the times the two children arrived while I was in the classroom. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. Ms. Campbell stated the facility had received corporate guidance that the Medication Administration Permission Form used for each child also served as the Medical Action Plan. I clarified during the visit the Medication Administration Permission Form and Medical Action Plan are separate documents, each containing specific criteria in Child Care Rule. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider creating a routine schedule for monitoring all classroom documentation to ensure all records remain complete and current. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. This cabinet was locked during the visit. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age; Ms. Campbell removed this from the outdoor environment during the visit. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. Two additional literacy activities were added to this space during the visit. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Campbell during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Nicole Avaritt, Center Supervisor, confirmed during today’s visit that the email was received and provided information that testing was completed on 8/29/2023. 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

NC GS 110-90 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 151 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 470 Time In: 08:25 AM Time Out: 04:15 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. Lelia Campbell, Center Director, assisted me with the visit. Your program currently operates with a five-star license, issued November 27, 2019, earning 7 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/22/2023 with a “Superior” classification. The last fire inspection was conducted 12/19/2023, and your facility was approved for daytime care only. Ms. Campbell provided me a copy of the fire inspection during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 86% percent as of 5/06/24. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Sixteen classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. 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 and activities with their teachers, and eating lunch 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. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities. This program does transport children who are School Age enrolled at this time. One microbus (License Plate #JFZ7321 is used to transport children to and from school. Vehicle insurance was observed to have an effective date of 7/01/2023 and an expiration date of 7/01/2024. All transportation requirements were monitored and found to be in compliance. Staff and Training Worksheets were submitted prior to the visit. Due to time restrictions, staff and children’s files were not monitored during today’s visit; a follow-up visit will be conducted to monitor these records. 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 4/4/2024. A lockdown drill was completed on 3/22/2024. A playground inspection was completed on 4/24/2024. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 10, two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. .0510(d)(1) 807 A safe indoor and outdoor environment was not provided for the children. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age. 10A NCAC 09 .0601(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not observed on file for three children enrolled before or within 30 days after admission. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A current training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not on file for four existing employees. A training certificate for Topic #2 Medication Administration in Child Care, was not observed on file for one existing employee. .1103(b) 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. If additional violations are found in staff and children’s records during the follow-up visit, they will be added to today's visit summary. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/21/2024. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Space 10, two children enrolled did not have a time of arrival recorded. The teacher in Space 10 went back and recorded the times the two children arrived while I was in the classroom. In Space 6, a medical action plan was not observed on file for one child enrolled with an emergency medication and in Space 15, a medical action plan was not observed on file for three children enrolled with emergency medications. Ms. Campbell stated the facility had received corporate guidance that the Medication Administration Permission Form used for each child also served as the Medical Action Plan. I clarified during the visit the Medication Administration Permission Form and Medical Action Plan are separate documents, each containing specific criteria in Child Care Rule. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. You may consider creating a routine schedule for monitoring all classroom documentation to ensure all records remain complete and current. One cabinet was observed to be unlocked in a classroom for children two and three years of age; a staff member’s purse and three plastic bags were accessible to children. This cabinet was locked during the visit. A garden claw with three metal prongs, sharp to the touch, was observed, accessible to children, lying in a gardening bed located on the playground used by children of preschool and School Age; Ms. Campbell removed this from the outdoor environment during the visit. In Space 10, the reading/literacy center did not contain sufficient materials for three children to use the space at the same time; only books were available to children. Two additional literacy activities were added to this space during the visit. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Campbell during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Nicole Avaritt, Center Supervisor, confirmed during today’s visit that the email was received and provided information that testing was completed on 8/29/2023. 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: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 132 Completed Date: 11/30/2023 Age: From 0 To 5 Total Minutes: 510 Time In: 08:30 AM Time Out: 05:00 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, Childcare Consultant with Lelia Campbell, Director. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st and 2nd shift care; meets enhanced ratios; meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The NC Secretary of State website was reviewed on 11/30/2023 and Carolina Medicorp Enterprises, Inc. of Novant Health was listed as current and active. The program’s compliance history was 91% 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. On the playground used by School Age children, the plastic base to a metal gutter located on the side of the building closest to the neighboring elementary school, was observed to be cracked and sharp to the touch. One outlet in Space 1 and three outlets in Space 15 were observed without safety covers; each of these was corrected during the visit. Plastic bags were observed to be stored accessible to children under two years of age inside cubbies in the following spaces: Space 5, Space 7, Space 8, and Space 11; all plastic bags were made inaccessible to the children during the visit. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled in Space 8 was not signed in upon arrival. I observed staff/child interactions today. I observed children engaging in songs, activities, games, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Six new staff were reported at this program. Files for new staff were 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. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous of items was monitored today. One spray bottle of Clorox cleaning spray was observed in an unlocked bathroom cabinet shared by Spaces 7 and 8; the key was still observed in the lock. This cabinet was locked, and the key removed, during the visit. A playground inspection was recorded 11/16/2023. Two fire drills were recorded during the month of September, 2023, but no fire drill was observed to be recorded for the month of August, 2023. The most recent fire drill was recorded on 11/27/2023. A lock down drill for the facility was recorded 9/22/2023. The most recent fire inspection was on 1/03/2023. I observed a sanitation inspection was last conducted on 8/22/2023 earning a Superior classification. Safe pick-up and delivery procedures were on file for children, but not posted where they can be seen by parents. These procedures were posted in the main entranceway during the visit. 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. One child enrolled in Space 8 was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were on file for children, but not posted where they can be seen by parents. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Two fire drills were recorded during the month of September, 2023, but no fire drill was observed to be recorded for the month of August, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by School Age children, the plastic base to a metal gutter located on the side of the building closest to the neighboring elementary school, was observed to be cracked and sharp to the touch. One outlet in Space 1 and three outlets in Space 15 were observed without safety covers; each of these was corrected during the visit. Plastic bags were observed to be stored accessible to children under two years of age inside cubbies in the following spaces: Space 5, Space 7, Space 8, and Space 11; all plastic bags were made inaccessible to the children during the visit. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One spray bottle of Clorox cleaning spray was observed in an unlocked bathroom cabinet shared by Spaces 7 and 8; the key was still observed in the lock. .2820(b) 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 12/14/2023. 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-stewart@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 discussed during today’s visit: • A safe outdoor environment supports children’s safety as they explore and play in the outdoor learning environment. On the playground used by School Age children, the plastic base to a metal gutter located on the side of the building closest to the neighboring elementary school, was observed to be cracked and sharp to the touch. Ms. Campbell stated she had not noticed the base of this gutter was in disrepair and that she would be contacting the hospital maintenance team by the end of the week to submit a request for repair. • Recording specific times of arrival and departure at the point of service ensures teachers know how many children are in their care throughout the day. One child enrolled in Space 8 was not signed in upon arrival. The teacher in Space 8 recorded this child’s time of arrival when I mentioned a child had not been signed in. I recommend staff review their records of arrival and departure frequently throughout arrival and departure times to ensure accurate recording of their coming into and leaving the classroom. • Conducting monthly fire drills ensures children have the opportunity to consistently practice and feel comfortable with procedures to follow in the event of a fire emergency. Fire drills were not practiced monthly and/or the drill record was incomplete. Two fire drills were recorded during the month of September, 2023, but no fire drill was observed to be recorded for the month of August, 2023. Ms. Campbell stated that in oversight, a fire drill was not completed in August, 2023, but that she completed two fire drills during the month of September (9/7/23 and 9/27/23). I recommend setting an Outlook or phone reminder monthly, as well as one for back-up, to ensure monthly fire drills occur. You may also consider completing monthly fire drills on the same day the monthly playground inspection is completed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please add my name and contact information to your current EPR Plan, as well as additional information for Child Care Health Consultant for Forsyth County, Keturah Oglesby. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org or (336) 714-4370 • If a facility is using a vehicle weighing less than 26,001 pounds that is designed for 16 or more passengers, including the driver, the driver must have a class C commercial driver’s license with a passenger endorsement. Official NCDMV: Commercial Driver License (ncdot.gov). The number of children in the vehicle is not relevant; it is based on how many passengers the vehicle is designed for. Also, childcare facilities need a DOT # if they are using a vehicle designed for transporting 9 (including the driver) whether they travel out of state (would need a USDOT#) or within the state (NCDOT#). Here is a link that you can access to determine if you need a DOT# and can register for one. https://www.fmcsa.dot.gov/registration/do-i-need-usdot-number • Please fully complete the Staff: Child Ratio Worksheet posted outside of Spaces 5 and 7. • Please also change the ratio recorded on the Staff: Child Ratio Worksheet outside of Space 6 to read “1:6”, as opposed to “6:1”. • Please ensure any additions made to the menu, due to the ages of children being served (for example, apple slices for children over three and applesauce for children under three years of age), are listed on the menu. • Please secure the cords to the fish tanks behind the shelves they are stored on in classrooms with children under three years of age enrolled. • Please monitor the playground equipment and fencing/door latches for rust. • Please ensure all maintenance supplies (i.e. ladders, tools, etc.) are removed from the playground prior to use by children enrolled. 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 .0302 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 132 Completed Date: 11/30/2023 Age: From 0 To 5 Total Minutes: 510 Time In: 08:30 AM Time Out: 05:00 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, Childcare Consultant with Lelia Campbell, Director. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st and 2nd shift care; meets enhanced ratios; meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The NC Secretary of State website was reviewed on 11/30/2023 and Carolina Medicorp Enterprises, Inc. of Novant Health was listed as current and active. The program’s compliance history was 91% 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. On the playground used by School Age children, the plastic base to a metal gutter located on the side of the building closest to the neighboring elementary school, was observed to be cracked and sharp to the touch. One outlet in Space 1 and three outlets in Space 15 were observed without safety covers; each of these was corrected during the visit. Plastic bags were observed to be stored accessible to children under two years of age inside cubbies in the following spaces: Space 5, Space 7, Space 8, and Space 11; all plastic bags were made inaccessible to the children during the visit. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled in Space 8 was not signed in upon arrival. I observed staff/child interactions today. I observed children engaging in songs, activities, games, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Six new staff were reported at this program. Files for new staff were 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. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous of items was monitored today. One spray bottle of Clorox cleaning spray was observed in an unlocked bathroom cabinet shared by Spaces 7 and 8; the key was still observed in the lock. This cabinet was locked, and the key removed, during the visit. A playground inspection was recorded 11/16/2023. Two fire drills were recorded during the month of September, 2023, but no fire drill was observed to be recorded for the month of August, 2023. The most recent fire drill was recorded on 11/27/2023. A lock down drill for the facility was recorded 9/22/2023. The most recent fire inspection was on 1/03/2023. I observed a sanitation inspection was last conducted on 8/22/2023 earning a Superior classification. Safe pick-up and delivery procedures were on file for children, but not posted where they can be seen by parents. These procedures were posted in the main entranceway during the visit. 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. One child enrolled in Space 8 was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were on file for children, but not posted where they can be seen by parents. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Two fire drills were recorded during the month of September, 2023, but no fire drill was observed to be recorded for the month of August, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by School Age children, the plastic base to a metal gutter located on the side of the building closest to the neighboring elementary school, was observed to be cracked and sharp to the touch. One outlet in Space 1 and three outlets in Space 15 were observed without safety covers; each of these was corrected during the visit. Plastic bags were observed to be stored accessible to children under two years of age inside cubbies in the following spaces: Space 5, Space 7, Space 8, and Space 11; all plastic bags were made inaccessible to the children during the visit. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One spray bottle of Clorox cleaning spray was observed in an unlocked bathroom cabinet shared by Spaces 7 and 8; the key was still observed in the lock. .2820(b) 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 12/14/2023. 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-stewart@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 discussed during today’s visit: • A safe outdoor environment supports children’s safety as they explore and play in the outdoor learning environment. On the playground used by School Age children, the plastic base to a metal gutter located on the side of the building closest to the neighboring elementary school, was observed to be cracked and sharp to the touch. Ms. Campbell stated she had not noticed the base of this gutter was in disrepair and that she would be contacting the hospital maintenance team by the end of the week to submit a request for repair. • Recording specific times of arrival and departure at the point of service ensures teachers know how many children are in their care throughout the day. One child enrolled in Space 8 was not signed in upon arrival. The teacher in Space 8 recorded this child’s time of arrival when I mentioned a child had not been signed in. I recommend staff review their records of arrival and departure frequently throughout arrival and departure times to ensure accurate recording of their coming into and leaving the classroom. • Conducting monthly fire drills ensures children have the opportunity to consistently practice and feel comfortable with procedures to follow in the event of a fire emergency. Fire drills were not practiced monthly and/or the drill record was incomplete. Two fire drills were recorded during the month of September, 2023, but no fire drill was observed to be recorded for the month of August, 2023. Ms. Campbell stated that in oversight, a fire drill was not completed in August, 2023, but that she completed two fire drills during the month of September (9/7/23 and 9/27/23). I recommend setting an Outlook or phone reminder monthly, as well as one for back-up, to ensure monthly fire drills occur. You may also consider completing monthly fire drills on the same day the monthly playground inspection is completed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please add my name and contact information to your current EPR Plan, as well as additional information for Child Care Health Consultant for Forsyth County, Keturah Oglesby. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org or (336) 714-4370 • If a facility is using a vehicle weighing less than 26,001 pounds that is designed for 16 or more passengers, including the driver, the driver must have a class C commercial driver’s license with a passenger endorsement. Official NCDMV: Commercial Driver License (ncdot.gov). The number of children in the vehicle is not relevant; it is based on how many passengers the vehicle is designed for. Also, childcare facilities need a DOT # if they are using a vehicle designed for transporting 9 (including the driver) whether they travel out of state (would need a USDOT#) or within the state (NCDOT#). Here is a link that you can access to determine if you need a DOT# and can register for one. https://www.fmcsa.dot.gov/registration/do-i-need-usdot-number • Please fully complete the Staff: Child Ratio Worksheet posted outside of Spaces 5 and 7. • Please also change the ratio recorded on the Staff: Child Ratio Worksheet outside of Space 6 to read “1:6”, as opposed to “6:1”. • Please ensure any additions made to the menu, due to the ages of children being served (for example, apple slices for children over three and applesauce for children under three years of age), are listed on the menu. • Please secure the cords to the fish tanks behind the shelves they are stored on in classrooms with children under three years of age enrolled. • Please monitor the playground equipment and fencing/door latches for rust. • Please ensure all maintenance supplies (i.e. ladders, tools, etc.) are removed from the playground prior to use by children enrolled. 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

NC GS 110-90 · Violation

Name of Operation: TODAY'S CHILD LEARNING CENTER Facility ID: 3455202 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 132 Completed Date: 11/30/2023 Age: From 0 To 5 Total Minutes: 510 Time In: 08:30 AM Time Out: 05:00 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, Childcare Consultant with Lelia Campbell, Director. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st and 2nd shift care; meets enhanced ratios; meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The NC Secretary of State website was reviewed on 11/30/2023 and Carolina Medicorp Enterprises, Inc. of Novant Health was listed as current and active. The program’s compliance history was 91% 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. On the playground used by School Age children, the plastic base to a metal gutter located on the side of the building closest to the neighboring elementary school, was observed to be cracked and sharp to the touch. One outlet in Space 1 and three outlets in Space 15 were observed without safety covers; each of these was corrected during the visit. Plastic bags were observed to be stored accessible to children under two years of age inside cubbies in the following spaces: Space 5, Space 7, Space 8, and Space 11; all plastic bags were made inaccessible to the children during the visit. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled in Space 8 was not signed in upon arrival. I observed staff/child interactions today. I observed children engaging in songs, activities, games, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Six new staff were reported at this program. Files for new staff were 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. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous of items was monitored today. One spray bottle of Clorox cleaning spray was observed in an unlocked bathroom cabinet shared by Spaces 7 and 8; the key was still observed in the lock. This cabinet was locked, and the key removed, during the visit. A playground inspection was recorded 11/16/2023. Two fire drills were recorded during the month of September, 2023, but no fire drill was observed to be recorded for the month of August, 2023. The most recent fire drill was recorded on 11/27/2023. A lock down drill for the facility was recorded 9/22/2023. The most recent fire inspection was on 1/03/2023. I observed a sanitation inspection was last conducted on 8/22/2023 earning a Superior classification. Safe pick-up and delivery procedures were on file for children, but not posted where they can be seen by parents. These procedures were posted in the main entranceway during the visit. 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. One child enrolled in Space 8 was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were on file for children, but not posted where they can be seen by parents. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Two fire drills were recorded during the month of September, 2023, but no fire drill was observed to be recorded for the month of August, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by School Age children, the plastic base to a metal gutter located on the side of the building closest to the neighboring elementary school, was observed to be cracked and sharp to the touch. One outlet in Space 1 and three outlets in Space 15 were observed without safety covers; each of these was corrected during the visit. Plastic bags were observed to be stored accessible to children under two years of age inside cubbies in the following spaces: Space 5, Space 7, Space 8, and Space 11; all plastic bags were made inaccessible to the children during the visit. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One spray bottle of Clorox cleaning spray was observed in an unlocked bathroom cabinet shared by Spaces 7 and 8; the key was still observed in the lock. .2820(b) 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 12/14/2023. 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-stewart@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 discussed during today’s visit: • A safe outdoor environment supports children’s safety as they explore and play in the outdoor learning environment. On the playground used by School Age children, the plastic base to a metal gutter located on the side of the building closest to the neighboring elementary school, was observed to be cracked and sharp to the touch. Ms. Campbell stated she had not noticed the base of this gutter was in disrepair and that she would be contacting the hospital maintenance team by the end of the week to submit a request for repair. • Recording specific times of arrival and departure at the point of service ensures teachers know how many children are in their care throughout the day. One child enrolled in Space 8 was not signed in upon arrival. The teacher in Space 8 recorded this child’s time of arrival when I mentioned a child had not been signed in. I recommend staff review their records of arrival and departure frequently throughout arrival and departure times to ensure accurate recording of their coming into and leaving the classroom. • Conducting monthly fire drills ensures children have the opportunity to consistently practice and feel comfortable with procedures to follow in the event of a fire emergency. Fire drills were not practiced monthly and/or the drill record was incomplete. Two fire drills were recorded during the month of September, 2023, but no fire drill was observed to be recorded for the month of August, 2023. Ms. Campbell stated that in oversight, a fire drill was not completed in August, 2023, but that she completed two fire drills during the month of September (9/7/23 and 9/27/23). I recommend setting an Outlook or phone reminder monthly, as well as one for back-up, to ensure monthly fire drills occur. You may also consider completing monthly fire drills on the same day the monthly playground inspection is completed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please add my name and contact information to your current EPR Plan, as well as additional information for Child Care Health Consultant for Forsyth County, Keturah Oglesby. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org or (336) 714-4370 • If a facility is using a vehicle weighing less than 26,001 pounds that is designed for 16 or more passengers, including the driver, the driver must have a class C commercial driver’s license with a passenger endorsement. Official NCDMV: Commercial Driver License (ncdot.gov). The number of children in the vehicle is not relevant; it is based on how many passengers the vehicle is designed for. Also, childcare facilities need a DOT # if they are using a vehicle designed for transporting 9 (including the driver) whether they travel out of state (would need a USDOT#) or within the state (NCDOT#). Here is a link that you can access to determine if you need a DOT# and can register for one. https://www.fmcsa.dot.gov/registration/do-i-need-usdot-number • Please fully complete the Staff: Child Ratio Worksheet posted outside of Spaces 5 and 7. • Please also change the ratio recorded on the Staff: Child Ratio Worksheet outside of Space 6 to read “1:6”, as opposed to “6:1”. • Please ensure any additions made to the menu, due to the ages of children being served (for example, apple slices for children over three and applesauce for children under three years of age), are listed on the menu. • Please secure the cords to the fish tanks behind the shelves they are stored on in classrooms with children under three years of age enrolled. • Please monitor the playground equipment and fencing/door latches for rust. • Please ensure all maintenance supplies (i.e. ladders, tools, etc.) are removed from the playground prior to use by children enrolled. 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