10A NCAC 09 .0606 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER WINTERVILLE Facility ID: 74000903 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 57 Completed Date: 2/24/2026 Age: From 0 To 5 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 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 child care requirements for a routine unannounced visit. E. Dail, Administrator, assisted with the visit. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted on 8/26/25. The sanitation inspection was completed 12/22/25 with a “Superior” classification. The last fire inspection was conducted 2/27/25. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 2/23/26. The NC Secretary of State website was reviewed on 2/23/26 and PBLA, Inc. was listed as current- active. You visited each indoor and outdoor space with me. In spaces # 1, 3, 4, and 6 Children were engaged in free play. Children were playing in interest areas including; dramatic play, blocks, math, and art. In space #2, infants had their individual needs met and tummy time. The outdoors included stationary climbers, ride on toys, balls, buckets and shovels. I observed proper handwashing throughout the center. Lunch was observed and consisted of beef stroganoff, apples, carrots, whole grain egg noodles, and milk. The following violations were documented: Violation Number Comment Rule 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.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 # 3, a bottle of sunscreen was on file with written permission that expired on 9/5/25 and a container of Aquaphor was on file with written permission that expired on 12/2/25. .0803(12) 871 Center staff did not comply with the safe sleep policy. One of seven sleep charts reviewed, indicated a child on February 17, 2026 was checked at 2:43pm and the next check was at 3:00pm. 10A NCAC 09 .0606(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. The violation(s) documented must be corrected immediately. On or before 3/10/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records. Safe sleep practices specify that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes, 10A NCAC 09 .0606(a)(6). One of seven sleep charts reviewed, indicated a child on February 17, 2026 was checked at 2:43pm and the next check was at 3:00pm. Staff stated the staff initials are of a former employee. Set a timer for each sleeping child as a reminder to perform sleep checks. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space # 3, a bottle of sunscreen was on file with written permission that expired on 9/5/25 and a container of Aquaphor was on file with written permission that expired on 12/2/25. You stated you did not know that it had expired. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire and documented on the correct form. Additional comments: Today we discussed QRIS: Pathway to the Stars. Your facility has chosen to follow Pathway #2: Classroom and Instructional Quality. We discussed all applicable forms. You stated you plan to apply in October 2026. We reviewed all forms for pathway #2 and accessed them at https://ncchildcare.ncdhhs.gov. We discussed having all staff review and update their WORKS account. If you are able to get all the documents completed before October 2026 could you apply for a rated license at an earlier date. You would need to reach out to me and let me know. Reminders: • Have employees ensure their WORKS account is current and updated. • Fire inspection is due by 2/28/26. Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@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.

NC GS 110-90 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER WINTERVILLE Facility ID: 74000903 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 57 Completed Date: 2/24/2026 Age: From 0 To 5 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 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 child care requirements for a routine unannounced visit. E. Dail, Administrator, assisted with the visit. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted on 8/26/25. The sanitation inspection was completed 12/22/25 with a “Superior” classification. The last fire inspection was conducted 2/27/25. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 2/23/26. The NC Secretary of State website was reviewed on 2/23/26 and PBLA, Inc. was listed as current- active. You visited each indoor and outdoor space with me. In spaces # 1, 3, 4, and 6 Children were engaged in free play. Children were playing in interest areas including; dramatic play, blocks, math, and art. In space #2, infants had their individual needs met and tummy time. The outdoors included stationary climbers, ride on toys, balls, buckets and shovels. I observed proper handwashing throughout the center. Lunch was observed and consisted of beef stroganoff, apples, carrots, whole grain egg noodles, and milk. The following violations were documented: Violation Number Comment Rule 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 # 3, a bottle of sunscreen was on file with written permission that expired on 9/5/25 and a container of Aquaphor was on file with written permission that expired on 12/2/25. .0803(12) 871 Center staff did not comply with the safe sleep policy. One of seven sleep charts reviewed, indicated a child on February 17, 2026 was checked at 2:43pm and the next check was at 3:00pm. 10A NCAC 09 .0606(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. The violation(s) documented must be corrected immediately. On or before 3/10/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records. Safe sleep practices specify that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes, 10A NCAC 09 .0606(a)(6). One of seven sleep charts reviewed, indicated a child on February 17, 2026 was checked at 2:43pm and the next check was at 3:00pm. Staff stated the staff initials are of a former employee. Set a timer for each sleeping child as a reminder to perform sleep checks. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space # 3, a bottle of sunscreen was on file with written permission that expired on 9/5/25 and a container of Aquaphor was on file with written permission that expired on 12/2/25. You stated you did not know that it had expired. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire and documented on the correct form. Additional comments: Today we discussed QRIS: Pathway to the Stars. Your facility has chosen to follow Pathway #2: Classroom and Instructional Quality. We discussed all applicable forms. You stated you plan to apply in October 2026. We reviewed all forms for pathway #2 and accessed them at https://ncchildcare.ncdhhs.gov. We discussed having all staff review and update their WORKS account. If you are able to get all the documents completed before October 2026 could you apply for a rated license at an earlier date. You would need to reach out to me and let me know. Reminders: • Have employees ensure their WORKS account is current and updated. • Fire inspection is due by 2/28/26. Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@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: CARE-O-WORLD EARLY LEARNING CENTER WINTERVILLE Facility ID: 74000903 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 57 Completed Date: 4/1/2025 Age: From 0 To 5 Total Minutes: 193 Time In: 09:32 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. E. Dail, Administrator, assisted with the visit. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 9/17/24. The sanitation inspection was completed 10/31/24 with a “Superior” classification. The last fire inspection was conducted 2/27/25. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of 3/31/25. The NC Secretary of State website was reviewed on 3/31/25 and PBLA, Inc. was listed as current- active. You visited each indoor and outdoor space with me. In spaces # 1 and #6, children were engaged in indoor free play. Activity areas include painting, water play, blocks, dramatic play, and manipulatives. In space #2, children under twelve months old receive individual needs including tummy time, diapering, and bottle feeding. Spaces #3 and #4 were engaged in outdoor free play. The outdoors included stationary climbers, ride on toys, balls, buckets and shovels. I observed proper handwashing throughout the center. Lunch was observed and consisted of beef taco, lettuce and tomato, black beans, whole grain rice, and milk. The following violations were documented: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five (5) children's information was missing a photograph. One child listed on transportation roster did not have emergency information available. 10A NCAC 09 .1003(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of the mulch surrounding the stationary climber on playground # 3 measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. .0605(k)(1-4) 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. The violation(s) documented must be corrected immediately. On or before 4/15/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Surfacing - Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The depth of the mulch surrounding the stationary climber on playground # 3 measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. You indicated that you have spoken to maintenance to have them come rake the mulch. Properly laid out outdoor play spaces, age-appropriate, properly designed and maintained equipment, and installation of energy-absorbing surfaces help to reduce both the potential and the severity of injury. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. Five (5) children's information was missing a photograph. One child listed on transportation roster did not have emergency information available. A staff member stated that four of the children missing photographs are from a different facility. The child missing emergency information and picture only attends occasionally. The staff member printed the child’s emergency information and added it to the transportation notebook. Have transportation staff review their notebooks to ensure that all information is current and accurate. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, Lead-Based Paint and Asbestos testing. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. Visit NCRLAP.org for more information. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@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.

NC GS 110-90 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER WINTERVILLE Facility ID: 74000903 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 57 Completed Date: 4/1/2025 Age: From 0 To 5 Total Minutes: 193 Time In: 09:32 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. E. Dail, Administrator, assisted with the visit. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 9/17/24. The sanitation inspection was completed 10/31/24 with a “Superior” classification. The last fire inspection was conducted 2/27/25. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of 3/31/25. The NC Secretary of State website was reviewed on 3/31/25 and PBLA, Inc. was listed as current- active. You visited each indoor and outdoor space with me. In spaces # 1 and #6, children were engaged in indoor free play. Activity areas include painting, water play, blocks, dramatic play, and manipulatives. In space #2, children under twelve months old receive individual needs including tummy time, diapering, and bottle feeding. Spaces #3 and #4 were engaged in outdoor free play. The outdoors included stationary climbers, ride on toys, balls, buckets and shovels. I observed proper handwashing throughout the center. Lunch was observed and consisted of beef taco, lettuce and tomato, black beans, whole grain rice, and milk. The following violations were documented: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five (5) children's information was missing a photograph. One child listed on transportation roster did not have emergency information available. 10A NCAC 09 .1003(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of the mulch surrounding the stationary climber on playground # 3 measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. .0605(k)(1-4) 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. The violation(s) documented must be corrected immediately. On or before 4/15/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Surfacing - Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The depth of the mulch surrounding the stationary climber on playground # 3 measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches. You indicated that you have spoken to maintenance to have them come rake the mulch. Properly laid out outdoor play spaces, age-appropriate, properly designed and maintained equipment, and installation of energy-absorbing surfaces help to reduce both the potential and the severity of injury. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. Five (5) children's information was missing a photograph. One child listed on transportation roster did not have emergency information available. A staff member stated that four of the children missing photographs are from a different facility. The child missing emergency information and picture only attends occasionally. The staff member printed the child’s emergency information and added it to the transportation notebook. Have transportation staff review their notebooks to ensure that all information is current and accurate. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, Lead-Based Paint and Asbestos testing. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. Visit NCRLAP.org for more information. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@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: CARE-O-WORLD EARLY LEARNING CENTER WINTERVILLE Facility ID: 74000903 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 54 Completed Date: 9/17/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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. Lakisha Skinner, Lead Child Care Consultant accompanied me during today’s visit. E. Dail, Administrator, assisted with the visit. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 9/28/23. The sanitation inspection was completed 6/21/24 with a “Superior” classification. The last fire inspection was conducted 2/27/24. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 9/13/24. The NC Secretary of State website was reviewed on 9/13/24 and PBLA, Inc. was listed as current- active. During today's walk through, I observed tummy time, diapering routines, and individual needs met in space #1. In spaces #2 and #6 children were engaged in free choice play. Staff members were on the children’s level interacting with them. I observed children in spaces #3 and #4 outdoors. Children were jumping in puddles, running, and climbing on stationary structures. Lunch was observed and consisted of ham, watermelon, potato salad, a whole grain roll, and milk. The following violation(s) were documented. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. The posted feeding plan for a 14 month old did not include modifications in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. 10 NCAC 09 .0902(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. An aerosol can of hair color spray was stored in the unlocked closet in Space #6. .2820(b) 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 #4 (designated for children two-years-of-age) a plastic zip lock bag used to store a child’s change of clothing was stored in the child’s bookbag. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. . One (1) staff person hired on 10/16/23, had a negative TB test dated 11/30/23. .0701(a) As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated January 1, 2024), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. 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. The violation(s) documented must be corrected immediately. On or before 10/1/24. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records – Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. On day one a negative TB test result or screening must be on file. One (1) staff person hired on 10/16/23, had a negative TB test dated 11/30/23 on file. You stated that you were not employed when the staff member was hired. As the administrator it is your responsibility to audit staff files. Utilizing the staff file checklist attached to your files will help you to meet and maintain compliance when hiring staff. Storage of Hazardous Items - There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. All children must be cared for in safe environments and protected from the risk of potentially dangerous products. An aerosol can of hair color spray was stored in the unlocked closet in Space #6. You stated that you had put a work order in to have the door repaired because it would not close properly. You removed the over the door coat hanger and the door closed properly. All aerosol cans are highly flammable and present a hazard because of the compressed gas used as a propellant. If punctured, the contents may be released so forcefully that injuries can result. All aerosols must be kept in locked storage. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. You locked the closet during the visit. Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags must be made inaccessible to children less than three years of age. In Space #4 (designated for children two-years-of-age) a plastic zip lock bag used to store a child’s change of clothing was stored in the child’s bookbag. You did not indicate why the clothing was stored in a plastic Ziploc bag inside of a child’s bookbag. If the teachers are going to use the plastic zip lock bags, then these bags must be stored out of reach of the children, which is defined as five feet or higher from the finished floor. You placed the Ziplock bag on top of a shelf above 5 ft in the space. Infant Feeding Plan - Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. Individual written infant feeding plans regarding feeding needs and feeding schedule must be developed for each infant in consultation with the infant’s primary care provider and parents/guardians. The posted feeding plan for a 14 month old did not include modifications in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. You stated that you would have the parent update the feeding plan. The feeding instructions for each child under 15 months old in consultation with the child’s primary care provider and parent/guardian. Feeding plans must include child's name, be signed by the parent or health care provider, and be dated when received by the center. It must also include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Emergency Drills - Practicing emergency drills help providers and children respond to emergency situations in a calm and safe manner. A shelter-in-a-place or lockdown drill must be completed every 3 months. The shelter-in-a-place or lockdown drill was completed on 2-22-24 and the next documented date on file was 6-25-24. This was not within every three months. You stated that it must have been overlooked. Use a calendar to preschedule when drills need to occur or set a reminder on your calendar. Additional Comments: Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add them to the staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. All staff must connect their CBC with your license number and the date this was completed listed on your Staff and Training Worksheet. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER WINTERVILLE Facility ID: 74000903 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 56 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 12:00 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s routine unannounced visit was to monitor applicable childcare requirements. C. Askew, Administrator, assisted with the visit. The last annual compliance visit was conducted 9/28/23. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The sanitation inspection was completed on 12/29/23 with a “Superior” classification. The last fire inspection was conducted 2/27/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 4/16/24. The NC Secretary of State website was reviewed on 4/16/24 and PBLA, INC was listed as current and active. During today's walk through, I observed the furniture used to divide spaces three and four has been removed making the two spaces one large space. You now have six spaces instead of the seven previously measured. I measured the now combined space designated for three- and four-year-old children. You are meeting enhanced ratios and space and can serve no more than twenty (20) children in the newly space. The new enrollment sheet will reflect that there are now six designated childcare spaces. In the future, when making changes to already measured spaces, contact your child care consultant to measure and approve the space prior to caring for children within the space. This will ensure you do not exceed ratios or space capacity. The space capacity worksheet has been left with you to reflect the new capacity in Space 3. The children were resting on linen covered mats when I arrived. Music played in the background. After rest time, the personal care routines were completed and the children transitioned to snack time. Muffins and milk were served. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed within 12 months of the previous but not submitted within one week of the inspection. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One individual hired on 11/6/23 did not complete First Aid training within 90 days of employment. One individual hired on 12/27/23 did not complete First Aid training within 90 days of employment. Documentation of the completion of First Aid training was not on file for one individual hired on 10/9/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One individual hired on 11/6/23 did not complete CPR training within 90 days of employment. One individual hired on 12/27/23 did not complete CPR training within 90 days of employment. Documentation of the completion of CPR training was not on file for one individual hired on 10/9/23 has not completed CPR training. .1102(d) * The violation(s) documented must be corrected immediately. On or before 5/1/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Insert Technical Assistance with Documented Violation (s): Fire Inspections –You must schedule and obtain a fire inspection with the local fire inspector within 12 months of the previous fire inspection. When you obtain the fire inspection you must submit the original of the approved annual fire inspection report to me within one week of the inspection visit on the form provided by the Division. The fire inspection was completed within 12 months of the previous fire inspection; however, it was not submitted within one week of the inspection. You indicated you were not aware it had to be submitted within one week and provided a copy today. First Aid and CPR Training for Staff–To ensure the health and safety of children in a child care setting, someone who is qualified to respond to life threatening emergencies must be in attendance at all times. First aid skills are the most likely tools caregivers will need. Minor injuries are common. For emergency situations that require attention from a health professional, first aid procedures can be used to control the situation until a health professional can provide definitive care. Pediatric first aid training that includes CPR is especially important because caregivers are responsible for all aspects of the health of the children in care. Two individuals completed training after 90 days of employment, and one individual hired on 10/9/23 has not completed the trainings to date. You indicated the individuals were waiting for the trainings to be offered. You were unsure of why the one individual has not completed the training. The knowledge and ability to perform emergency measures on another person whose breathing or heart activity has stopped is critical to potentially saving a life. Documentation of the successful completion of pediatric first aid and demonstration of pediatric CPR skills in the facility must be available for review and is required within 90 days of employment and before the expiration date listed on each card. Additional Comments: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visit https://www.cleanwaterforuskids.org/en/carolina/. I emailed you a copy of the overview for Lead Based Paint and Asbestos Testing during today’s visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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.

NC GS 110-90 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER WINTERVILLE Facility ID: 74000903 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: 1123-314L Visit Date: 12/6/2023 Number Present: 64 Completed Date: 12/6/2023 Age: From 0 To 5 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced * The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. C. Askew, Director, and W. Godley, Facilities Director, were present during the visit and the allegations were discussed with them. I conducted a walk-through of the facility with Ms. Askew. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Enrollment: Group 1 - 12 children & 2 teachers present (ages 1-2) Group 2 - 4 children & 2 teachers present (infants) Group 3 - 10 children & 1 teacher present (ages 1-2) Group 4 - 10 children & 2 teachers present (age 2) Group 5 - 15 children & 2 teachers present (age 3) Group 6 – No children were present Group 7 - 13 children & 1 teacher present (ages 3-5) I interviewed the center director and the director of facilities. The allegations are as follows: Allegation 1: There is a concern that children are not being adequately supervised. I monitored indoor and outdoor spaces using the camera system and in person. I did not observe a lapse in supervision. Based on information received from interviewed staff and my observations, the finding regarding the allegation of inadequate supervision was unconfirmed. Allegation 2: There are concerns regarding nutrition. Lunch included ham and macaroni with cheese bake, beets, cabbage and milk. The posted menu was reflective of what was served. Infants were held during bottle feedings. I reviewed infant feeding schedules and checked for labeled and dated bottles. Based on my observations, this allegation is unconfirmed. Allegation 3: There is a concern that children are being cared for in an unsafe environment. I monitored all spaces. I did not observe children being cared for in an unsafe environment. Based on my observations, the finding regarding the allegation of an unsafe environment is unconfirmed. The following violation was documented. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The facility completes a "Boo Boo" note when children experience an injury that does not require medical attention. .0802 (e) * Child Care programs are expected to always achieve and maintain compliance 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. The violation documented must be corrected immediately. On or before 12/20/23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Insert Technical assistance with documented violation (s): Incident Report - Injury patterns as well as child abuse and neglect can be detected from such records and can be used to prevent future problems. During the interview you indicated on October 25, 2023 while on the playground a two-year-old child ran into another child causing an injury to the child’s mouth. You presented a copy of the “Boo Boo” note you provided the child’s parent. I reviewed incident reports, and the incident report log and did not see an incident report created for this injury. You indicated you thought h the incident report was used only if a child received medical care. We went to .0802(e) in the child care rulebook for clarity of the rule. During today’s visit, you sent an email to the directors within your program indicating a change to your incident report policy. An incident report form is also necessary for providing information to the child’s parents/guardians, primary care provider and other appropriate health agencies when medical treatment is required. You indicated you will implement the incident form moving forward. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Childcare Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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.

NC GS 110-90 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER WINTERVILLE Facility ID: 74000903 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 76 Completed Date: 9/28/2023 Age: From 0 To 11 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor applicable childcare requirements. C. Askew, Administrator, assisted with the visit. The last annual compliance visit was conducted 10/25/22. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point for meeting a programmatic option. The sanitation inspection was completed on 4/11/23 with a “Superior” classification. The last fire inspection was conducted 3/14/23. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 9/27/23. The NC Secretary of State website was reviewed on 9/27/23 and PBLA, INC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current. Contact me anytime you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play, routines, and transitions. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing was observed. Children were observed in the outdoor space climbing on stationary equipment and riding tricycles. The outdoor space included trees for shade, riding toys, and basketball hoops to engage in gross motor activities. Lunch included pizza, hash brown potatoes, cantaloupe, and milk. The following violations were documented. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol can of Paya Hand Sanitizer Antiseptic Spray was stored on the van used to transport children. .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. The violation(s) documented must be corrected immediately. On or before 10/12/2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Insert TECHNICAL ASSISTANCE WITH THE DOCUMENTED VIOLATION: Storage of Hazards Items - All aerosol cans are highly flammable and present a hazard because of the compressed gas used as a propellant. If punctured, the contents may be released so forcefully that injuries can result. An aerosol can of Paya Hand Sanitizer Antiseptic Spray was stored on the van used to transport children. You removed the aerosol can during the visit. All aerosols must be kept in locked storage. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. Vehicle Safety - Life gets busy and sometimes we’re more focused on where we’re going rather than how we’re getting there; the tread depth of your tires can be easy to overlook. But when it comes to tire maintenance, proper tread depth is one of the easiest ways to help maximize your safety. There are several popular ways to check your tire tread depth. One easy way is the penny test. Simply insert a penny into your tire's tread groove with Lincoln's head upside down and facing you. If you can see all of Lincoln's head, your tread depth is less than 2/32 inch and it's time to replace your tires. I was able to see all of Lincoln's head while checking the front tires of the van used to transport the children. You indicated a support ticket was submitted during the visit. Additional Comments: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. Be knowledgeable of the child care laws and rules, review them with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. New Sanitation Rules - DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. Moodle Support – You already know the Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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.

G.S. 110-91 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER WINTERVILLE Facility ID: 74000903 Consultant: CHRISTINA BYNUM Operation Type: Center Case Number: 0923-264A Visit Date: 9/25/2023 Number Present: 56 Completed Date: 9/25/2023 Age: From 0 To 4 Total Minutes: 75 Time In: 11:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Cierra Askew, Director, and Ashley Braddy, Assistant Administrator, were present during the visit. I conducted a walk-through of the facility with Ms. Askew. During the visit, I discussed the allegations with Ms. Askew, Ms. Braddy, and Jason Carrow, Owner of the facility. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Two staff members were observed on video surveillance yelling, mocking, and not comforting children who were crying. G.S. 110-91(10) You may contact me, Christina Bynum, Investigation’s Consultant, at (252) 414-5942 or e-mail at christina.w.bynum@dhhs.nc.gov. Thank you for your time. 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: ratio. Open / not marked corrected.