10A NCAC 09 .0304 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 32 Completed Date: 4/3/2025 Age: From 0 To 5 Total Minutes: 259 Time In: 08:41 AM Time Out: 12:45 PM Time In: 02:50 PM Time Out: 03:05 PM 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 child care. W. Mitchell, Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/14/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for programmatic option of staff benefits package and infrastructure of parent involvement. The sanitation inspection was completed 12/8/24 with a “Superior” classification. The last fire inspection was conducted 1/28/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 4/1/25. The NC Secretary of State website was reviewed on 4/1/25 and Kids-R-Us 3 Preschool and Childcare, LLC, was listed as current-active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Five groups of children were observed. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Children throughout the facility engaged in indoor and outdoor free play activities. New materials have been added to the classroom spaces. Medication storage and authorizations were reviewed during the visit. Breakfast was observed and consisted of cheese toast, mixed fruit, and milk. 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. A fire inspection was completed on January 28, 2025, a copy of the report was received on April 3, 2025. 10A NCAC 09 .0304(a) 544 Screen time was offered to children under three years of age. A tablet played Mickey Mouse Clubhouse in space #5 where seven children, two years of age were cared for. .0510(f) 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. Staff employed on 3/24/25 had a TB test on file dated 3/21/24. .0701(a) 9995 A violation was found for which there is no item number. Staff omitted steps in the diapering process by not using a wipes to wipe the child's bottom, wipe the staff's hands and wipe the children's hands. This is a violation of sanitation rule 15A NCAC 18A .2819(d). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to 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 4/17/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Diapering-Today, we discussed reviewing the sanitation rule 15a NCAC 18a .2819 Diapering and Diaper Changing Facilities with your staff. You stated you will contact the Child Care Health Specialist to work with your new staff. Fire Inspection-Fire inspections must be obtained annually and the original report submitted to the division within one week. An inspection was completed in January 2025 but a copy of the approved inspection was not received until today’s visit. Today we discussed placing a reminder in your file binder to submit the inspection upon completion. Additional Comments: Meal Prep and Meal Service- Today technical assistance was provided regarding transitions and meal service. Contact the Martin-Pitt Partnership for Children for additional technical assistance and training opportunities. Their phone number is (252) 758-8885 or check out their website at mppfc.org. New Infant Toddler Teacher Orientation (NITTO)-The New Infant Toddler Teacher Orientation (NITTO) is an online, self-paced and interactive training where infant toddler practitioners will learn the importance of their work and will develop the skills to provide high-quality care. This is a self-paced training that offers 14 professional training hours. It is great as a portion of orientation for new employees and a refresher for the veteran staff. Use your NCID to log into DCDEE’s Moodle at http://www.dcdee.moodle.nc.gov and search for The New Infant Toddler Teacher. Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 32 Completed Date: 4/3/2025 Age: From 0 To 5 Total Minutes: 259 Time In: 08:41 AM Time Out: 12:45 PM Time In: 02:50 PM Time Out: 03:05 PM 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 child care. W. Mitchell, Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/14/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for programmatic option of staff benefits package and infrastructure of parent involvement. The sanitation inspection was completed 12/8/24 with a “Superior” classification. The last fire inspection was conducted 1/28/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 4/1/25. The NC Secretary of State website was reviewed on 4/1/25 and Kids-R-Us 3 Preschool and Childcare, LLC, was listed as current-active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Five groups of children were observed. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Children throughout the facility engaged in indoor and outdoor free play activities. New materials have been added to the classroom spaces. Medication storage and authorizations were reviewed during the visit. Breakfast was observed and consisted of cheese toast, mixed fruit, and milk. 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. A fire inspection was completed on January 28, 2025, a copy of the report was received on April 3, 2025. 10A NCAC 09 .0304(a) 544 Screen time was offered to children under three years of age. A tablet played Mickey Mouse Clubhouse in space #5 where seven children, two years of age were cared for. .0510(f) 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. Staff employed on 3/24/25 had a TB test on file dated 3/21/24. .0701(a) 9995 A violation was found for which there is no item number. Staff omitted steps in the diapering process by not using a wipes to wipe the child's bottom, wipe the staff's hands and wipe the children's hands. This is a violation of sanitation rule 15A NCAC 18A .2819(d). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to 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 4/17/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Diapering-Today, we discussed reviewing the sanitation rule 15a NCAC 18a .2819 Diapering and Diaper Changing Facilities with your staff. You stated you will contact the Child Care Health Specialist to work with your new staff. Fire Inspection-Fire inspections must be obtained annually and the original report submitted to the division within one week. An inspection was completed in January 2025 but a copy of the approved inspection was not received until today’s visit. Today we discussed placing a reminder in your file binder to submit the inspection upon completion. Additional Comments: Meal Prep and Meal Service- Today technical assistance was provided regarding transitions and meal service. Contact the Martin-Pitt Partnership for Children for additional technical assistance and training opportunities. Their phone number is (252) 758-8885 or check out their website at mppfc.org. New Infant Toddler Teacher Orientation (NITTO)-The New Infant Toddler Teacher Orientation (NITTO) is an online, self-paced and interactive training where infant toddler practitioners will learn the importance of their work and will develop the skills to provide high-quality care. This is a self-paced training that offers 14 professional training hours. It is great as a portion of orientation for new employees and a refresher for the veteran staff. Use your NCID to log into DCDEE’s Moodle at http://www.dcdee.moodle.nc.gov and search for The New Infant Toddler Teacher. Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 28 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 148 Time In: 08:52 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated September 26, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 9/30/24, I received an email form W. Michell stating she had received the action on 9/30/34. On 10/7/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan, and Stipulations to be completed. Five groups of children were observed in the indoor learning environment. Children were engaged in indoor free play. Teachers greeted children and parents as they arrived and assisted children with handwashing. The groups later transitioned to breakfast. Proper handwashing techniques were observed. In space #1, children were having tummy time and napping. Safe sleep checks were completed and documented as required. 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. There was one canister of Lysol Disinfectant Wipes, one canister of Great Value Disinfectant Wipes, one travel sized bottle of Lysol Multipurpose Cleaner, and one bottle of Purell Surface Disinfectant located in an unlocked changing table cabinet of space #5. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One tube of Boudreaux's Butt Paste was stored in an unlocked cabinet of the changing table in space #5. 15A NCAC 18A .2820(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to 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 2/24/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Storage of Hazardous Items- Chemicals should be kept in locked storage away from children because young children are naturally curious and may put things in their mouths, making them highly susceptible to accidental poisoning if they access chemicals that are not properly secured. Today, in space #5, I observed an unlocked changing table that contained one canister of Lysol Disinfectant Wipes, one canister of Great Value Disinfectant Wipes, one travel sized bottle of Lysol Multipurpose Cleaner, and one bottle of Purell Surface Disinfectant. There was also one tube of Boudreaux's Butt Paste was in a cubby within the cabinet. Upon investigating, you discovered the lock was broken and moved the items to locked storage. Ms. Mitchell communicated with the facility maintenance and the lock is scheduled to be replaced on 2/11/25. Have staff check that doors and cabinets are locked, and if a lock is not working, secured the any medications and cleaning products in another location and notify an administrator. Create a system for notifying administrators of maintenance issues. Corrective Action Plan: Stipulation #1: Maintaining compliance with NC Child Care Requirements. Two (2) violations were documented during today’s visit. Stipulation #2: Within one (1)week after the Notice is received, Wendy Mitchell, administrator, shall contact LeShaunda McCotter, Child Care Consultant to request an announced Technical Assistance visit to review how to maintain compliance with requirement’s related to administering medications. Ms. Mitchell contacted Ms. McCotter on 10/7/24. The TA visit was completed on 10/18/24. This stipulations has been met. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Mitchell shall contact Terry Quinn, Child Care Health Consultant, to arrange for training regarding medication administration that includes, but is not limited to, the storage of medication and medication authorization. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. No children shall be in care during this training. Documentation of the training shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Mitchell contacted Ms. Quinn on 10/8/24 and training was completed on 10/30/24. This stipulation has been met Stipulation #4: Within two (2) weeks after Item #3 is completed, Ms. Mitchell shall revise the current policies and procedures regarding the administering and storage of medications for children and staff at the child care facility. The written policies and procedures must include a method for routine checks to ensure compliance with child care requirements. The written policies and procedures shall be submitted to Ms. McCotter for approval. A copy of the revised policies and procedures were received on 11/22/24. I contacted you by phone and email on 12/5/24, notifying you that the written policies and procedures submitted met the requirements of stipulation #4. Stipulations #5: Within two (2) weeks after approval of the written policies and procedures in Item #4, a staff meeting shall be conducted to discuss the approved written policies and procedures. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the documentation shall be submitted to Ms. McCotter within three (3) days following the staff meeting. Documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Documentation provided show a staff meeting was held on 12/19/24. A copy of the meeting agenda and staff sign-in sheet was provided on 12/20/24. A copy was also available for review during the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 1/6/2025 Number Present: 22 Completed Date: 1/6/2025 Age: From 0 To 5 Total Minutes: 119 Time In: 08:31 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated September 26, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 9/30/24, I received an email from W. Michell stating she had received the action on 9/30/34. On 10/7/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan, and Stipulations to be completed. Children throughout the facility were engaged in indoor free play. As the children arrived, teachers greeted them and their parents. Teachers assisted children with handwashing before joining others in play. The groups later transitioned to breakfast, consisting of muffins, mixed fruit, and milk. Children enrolled in space #1 received care based on their individual needs including bottle feeding, diapering, and tummy time. The following violation was documented. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #1, there was one authorization form for a tube of Aquaphor Healing Ointment that did not include a parent signature. 10A NCAC 09 .0803(4)(6-9) 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 1/20/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication Authorizations- You recently revised your written medication policies and procedures. During today’s visit the authorization form, for one tube of Aquaphor Healing Ointment, did not have a parent signature. It was discovered that classroom staff did not give the medication and authorization form to the administrator or designated staff for review as required per the facility’s current procedures. Review the procedures with your staff. If adjustments to procedures need to be made, please submit a written copy to me for review. Corrective Action Plan: Stipulation #1: Maintaining compliance with NC Child Care Requirements. One (1) violation was documented during today’s visit. Stipulation #2: Within one (1)week after the Notice is received, Wendy Mitchell, administrator, shall contact LeShaunda McCotter, Child Care Consultant to request an announced Technical Assistance visit to review how to maintain compliance with requirement’s related to administering medications. Ms. Mitchell contacted Ms. McCotter on 10/7/24. The TA visit was completed on 10/18/24. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Mitchell shall contact Terry Quinn, Child Care Health Consultant, to arrange for training regarding medication administration that includes, but is not limited to, the storage of medication and medication authorization. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. No children shall be in care during this training. Documentation of the training shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Mitchell contacted Ms. Quinn on 10/8/24 and training was completed on 10/30/24. Stipulation #4: Within two (2) weeks after Item #3 is completed, Ms. Mitchell shall revise the current policies and procedures regarding the administering and storage of medications for children and staff at the child care facility. The written policies and procedures must include a method for routine checks to ensure compliance with child care requirements. The written policies and procedures shall be submitted to Ms. McCotter for approval. A copy of the revised policies and procedures were received on 11/22/24. I contacted you by phone and email on 12/5/24, notifying you that the written policies and procedures submitted met the requirements of stipulation #4. Stipulations #5: Within two (2) weeks after approval of the written policies and procedures in Item #4, a staff meeting shall be conducted to discuss the approved written policies and procedures. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the documentation shall be submitted to Ms. McCotter within three (3) days following the staff meeting. Documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Documentation provided show a staff meeting was held on 12/19/24. A copy of the meeting agenda and staff sign-in sheet was provided on 12/20/24. A copy was also available for review during the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 1/6/2025 Number Present: 22 Completed Date: 1/6/2025 Age: From 0 To 5 Total Minutes: 119 Time In: 08:31 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated September 26, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 9/30/24, I received an email from W. Michell stating she had received the action on 9/30/34. On 10/7/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan, and Stipulations to be completed. Children throughout the facility were engaged in indoor free play. As the children arrived, teachers greeted them and their parents. Teachers assisted children with handwashing before joining others in play. The groups later transitioned to breakfast, consisting of muffins, mixed fruit, and milk. Children enrolled in space #1 received care based on their individual needs including bottle feeding, diapering, and tummy time. The following violation was documented. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #1, there was one authorization form for a tube of Aquaphor Healing Ointment that did not include a parent signature. 10A NCAC 09 .0803(4)(6-9) 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 1/20/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication Authorizations- You recently revised your written medication policies and procedures. During today’s visit the authorization form, for one tube of Aquaphor Healing Ointment, did not have a parent signature. It was discovered that classroom staff did not give the medication and authorization form to the administrator or designated staff for review as required per the facility’s current procedures. Review the procedures with your staff. If adjustments to procedures need to be made, please submit a written copy to me for review. Corrective Action Plan: Stipulation #1: Maintaining compliance with NC Child Care Requirements. One (1) violation was documented during today’s visit. Stipulation #2: Within one (1)week after the Notice is received, Wendy Mitchell, administrator, shall contact LeShaunda McCotter, Child Care Consultant to request an announced Technical Assistance visit to review how to maintain compliance with requirement’s related to administering medications. Ms. Mitchell contacted Ms. McCotter on 10/7/24. The TA visit was completed on 10/18/24. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Mitchell shall contact Terry Quinn, Child Care Health Consultant, to arrange for training regarding medication administration that includes, but is not limited to, the storage of medication and medication authorization. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. No children shall be in care during this training. Documentation of the training shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Mitchell contacted Ms. Quinn on 10/8/24 and training was completed on 10/30/24. Stipulation #4: Within two (2) weeks after Item #3 is completed, Ms. Mitchell shall revise the current policies and procedures regarding the administering and storage of medications for children and staff at the child care facility. The written policies and procedures must include a method for routine checks to ensure compliance with child care requirements. The written policies and procedures shall be submitted to Ms. McCotter for approval. A copy of the revised policies and procedures were received on 11/22/24. I contacted you by phone and email on 12/5/24, notifying you that the written policies and procedures submitted met the requirements of stipulation #4. Stipulations #5: Within two (2) weeks after approval of the written policies and procedures in Item #4, a staff meeting shall be conducted to discuss the approved written policies and procedures. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the documentation shall be submitted to Ms. McCotter within three (3) days following the staff meeting. Documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Documentation provided show a staff meeting was held on 12/19/24. A copy of the meeting agenda and staff sign-in sheet was provided on 12/20/24. A copy was also available for review during the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/18/2024 Number Present: 31 Completed Date: 10/18/2024 Age: From 0 To 4 Total Minutes: 124 Time In: 11:31 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated September 26, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 9/30/24, I received an email form W. Michell stating she had received the action on 9/30/34. On 10/7/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan, and Stipulations to be completed. Upon entrance of the facility, I reviewed the Administrative Action-Written Warning, Cover Letter and Corrective Action Plan posted on the information board, visible to staff and parents. Children throughout the facility were engaged in indoor and outdoor free play. In space #1, children moved about the space freely. Staff assisted children with bottle and table food feedings. Classroom spaces contained child size furniture and developmentally appropriate materials were available to child to access as they play. Violation Number Comment Rule 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. One tube of Triple Paste AF ointment was used for a child under two years of age, when the dosing instructions read "Do not use on children under 2 years of age unless directed by a doctor." No documentation from a medical professional was on file at the time of the visit. 10A NCAC 09 .0803(5) The following violation was observed during 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 11/1/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- When administering medication, staff must ensure the medications are appropriate for the child’s age and weight. It was reported that the medication was given by the parent and the product name, Triple Paste, has a diaper rash cream and the parent had requested to use the cream for fungal rash. Before accepting medication, review the manufactures instructions and parent instructions to ensure they are applicable and appropriate for the age of the child. If the manufacturers’ instructions are not for that aged child, a written instruction must be obtained from a medial professional. Today we reviewed how to audit medications and authorization forms. I completed a medication audit with you. Reviewed section .0803 of child care rules with your staff. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One (1) violation was documented during today’s visit. Stipulation #2: Within one (1)week after the Notice is received, Wendy Mitchell, administrator, shall contact LeShaunda McCotter, Child Care Consultant to request an announced Technical Assistance visit to review how to maintain compliance with requirement’s related to administering medications. Ms. Mitchell contacted Ms. McCotter on 10/7/24. The TA visit was completed on 10/18/24. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Mitchell shall contact Terry Quinn, Child Care Health Consultant, to arrange for training regarding medication administration that includes, but is not limited to, the storage of medication and medication authorization. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. No children shall be in care during this training. Documentation of the training shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Mitchell contacted Ms. Quinn on 10/8/24 and training is scheduled for 10/29/24. Stipulation #4: Within two (2) weeks after Item #3 is completed, Ms. Mitchell shall revise the current policies and procedures regarding the administering and storage of medications for children and staff at the child care facility. The written policies and procedures must include a method for routine checks to ensure compliance with child care requirements. The written policies and procedures shall be submitted to Ms. McCotter for approval. If the training is completed on the scheduled date, revised policies will be due on or before 11/12/24. Stipulations #5: Within two (2) weeks after approval of the written policies and procedures in Item #4, a staff meeting shall be conducted to discuss the approved written policies and procedures. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the documentation shall be submitted to Ms. McCotter within three (3) days following the staff meeting. Documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/18/2024 Number Present: 31 Completed Date: 10/18/2024 Age: From 0 To 4 Total Minutes: 124 Time In: 11:31 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated September 26, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 9/30/24, I received an email form W. Michell stating she had received the action on 9/30/34. On 10/7/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan, and Stipulations to be completed. Upon entrance of the facility, I reviewed the Administrative Action-Written Warning, Cover Letter and Corrective Action Plan posted on the information board, visible to staff and parents. Children throughout the facility were engaged in indoor and outdoor free play. In space #1, children moved about the space freely. Staff assisted children with bottle and table food feedings. Classroom spaces contained child size furniture and developmentally appropriate materials were available to child to access as they play. Violation Number Comment Rule 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. One tube of Triple Paste AF ointment was used for a child under two years of age, when the dosing instructions read "Do not use on children under 2 years of age unless directed by a doctor." No documentation from a medical professional was on file at the time of the visit. 10A NCAC 09 .0803(5) The following violation was observed during 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 11/1/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- When administering medication, staff must ensure the medications are appropriate for the child’s age and weight. It was reported that the medication was given by the parent and the product name, Triple Paste, has a diaper rash cream and the parent had requested to use the cream for fungal rash. Before accepting medication, review the manufactures instructions and parent instructions to ensure they are applicable and appropriate for the age of the child. If the manufacturers’ instructions are not for that aged child, a written instruction must be obtained from a medial professional. Today we reviewed how to audit medications and authorization forms. I completed a medication audit with you. Reviewed section .0803 of child care rules with your staff. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One (1) violation was documented during today’s visit. Stipulation #2: Within one (1)week after the Notice is received, Wendy Mitchell, administrator, shall contact LeShaunda McCotter, Child Care Consultant to request an announced Technical Assistance visit to review how to maintain compliance with requirement’s related to administering medications. Ms. Mitchell contacted Ms. McCotter on 10/7/24. The TA visit was completed on 10/18/24. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Mitchell shall contact Terry Quinn, Child Care Health Consultant, to arrange for training regarding medication administration that includes, but is not limited to, the storage of medication and medication authorization. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. No children shall be in care during this training. Documentation of the training shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Mitchell contacted Ms. Quinn on 10/8/24 and training is scheduled for 10/29/24. Stipulation #4: Within two (2) weeks after Item #3 is completed, Ms. Mitchell shall revise the current policies and procedures regarding the administering and storage of medications for children and staff at the child care facility. The written policies and procedures must include a method for routine checks to ensure compliance with child care requirements. The written policies and procedures shall be submitted to Ms. McCotter for approval. If the training is completed on the scheduled date, revised policies will be due on or before 11/12/24. Stipulations #5: Within two (2) weeks after approval of the written policies and procedures in Item #4, a staff meeting shall be conducted to discuss the approved written policies and procedures. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the documentation shall be submitted to Ms. McCotter within three (3) days following the staff meeting. Documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/18/2024 Number Present: 31 Completed Date: 10/18/2024 Age: From 0 To 4 Total Minutes: 124 Time In: 11:31 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated September 26, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 9/30/24, I received an email form W. Michell stating she had received the action on 9/30/34. On 10/7/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan, and Stipulations to be completed. Upon entrance of the facility, I reviewed the Administrative Action-Written Warning, Cover Letter and Corrective Action Plan posted on the information board, visible to staff and parents. Children throughout the facility were engaged in indoor and outdoor free play. In space #1, children moved about the space freely. Staff assisted children with bottle and table food feedings. Classroom spaces contained child size furniture and developmentally appropriate materials were available to child to access as they play. Violation Number Comment Rule 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. One tube of Triple Paste AF ointment was used for a child under two years of age, when the dosing instructions read "Do not use on children under 2 years of age unless directed by a doctor." No documentation from a medical professional was on file at the time of the visit. 10A NCAC 09 .0803(5) The following violation was observed during 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 11/1/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- When administering medication, staff must ensure the medications are appropriate for the child’s age and weight. It was reported that the medication was given by the parent and the product name, Triple Paste, has a diaper rash cream and the parent had requested to use the cream for fungal rash. Before accepting medication, review the manufactures instructions and parent instructions to ensure they are applicable and appropriate for the age of the child. If the manufacturers’ instructions are not for that aged child, a written instruction must be obtained from a medial professional. Today we reviewed how to audit medications and authorization forms. I completed a medication audit with you. Reviewed section .0803 of child care rules with your staff. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One (1) violation was documented during today’s visit. Stipulation #2: Within one (1)week after the Notice is received, Wendy Mitchell, administrator, shall contact LeShaunda McCotter, Child Care Consultant to request an announced Technical Assistance visit to review how to maintain compliance with requirement’s related to administering medications. Ms. Mitchell contacted Ms. McCotter on 10/7/24. The TA visit was completed on 10/18/24. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Mitchell shall contact Terry Quinn, Child Care Health Consultant, to arrange for training regarding medication administration that includes, but is not limited to, the storage of medication and medication authorization. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. No children shall be in care during this training. Documentation of the training shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Mitchell contacted Ms. Quinn on 10/8/24 and training is scheduled for 10/29/24. Stipulation #4: Within two (2) weeks after Item #3 is completed, Ms. Mitchell shall revise the current policies and procedures regarding the administering and storage of medications for children and staff at the child care facility. The written policies and procedures must include a method for routine checks to ensure compliance with child care requirements. The written policies and procedures shall be submitted to Ms. McCotter for approval. If the training is completed on the scheduled date, revised policies will be due on or before 11/12/24. Stipulations #5: Within two (2) weeks after approval of the written policies and procedures in Item #4, a staff meeting shall be conducted to discuss the approved written policies and procedures. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the documentation shall be submitted to Ms. McCotter within three (3) days following the staff meeting. Documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/18/2024 Number Present: 31 Completed Date: 10/18/2024 Age: From 0 To 4 Total Minutes: 124 Time In: 11:31 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated September 26, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 9/30/24, I received an email form W. Michell stating she had received the action on 9/30/34. On 10/7/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan, and Stipulations to be completed. Upon entrance of the facility, I reviewed the Administrative Action-Written Warning, Cover Letter and Corrective Action Plan posted on the information board, visible to staff and parents. Children throughout the facility were engaged in indoor and outdoor free play. In space #1, children moved about the space freely. Staff assisted children with bottle and table food feedings. Classroom spaces contained child size furniture and developmentally appropriate materials were available to child to access as they play. Violation Number Comment Rule 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. One tube of Triple Paste AF ointment was used for a child under two years of age, when the dosing instructions read "Do not use on children under 2 years of age unless directed by a doctor." No documentation from a medical professional was on file at the time of the visit. 10A NCAC 09 .0803(5) The following violation was observed during 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 11/1/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- When administering medication, staff must ensure the medications are appropriate for the child’s age and weight. It was reported that the medication was given by the parent and the product name, Triple Paste, has a diaper rash cream and the parent had requested to use the cream for fungal rash. Before accepting medication, review the manufactures instructions and parent instructions to ensure they are applicable and appropriate for the age of the child. If the manufacturers’ instructions are not for that aged child, a written instruction must be obtained from a medial professional. Today we reviewed how to audit medications and authorization forms. I completed a medication audit with you. Reviewed section .0803 of child care rules with your staff. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One (1) violation was documented during today’s visit. Stipulation #2: Within one (1)week after the Notice is received, Wendy Mitchell, administrator, shall contact LeShaunda McCotter, Child Care Consultant to request an announced Technical Assistance visit to review how to maintain compliance with requirement’s related to administering medications. Ms. Mitchell contacted Ms. McCotter on 10/7/24. The TA visit was completed on 10/18/24. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Mitchell shall contact Terry Quinn, Child Care Health Consultant, to arrange for training regarding medication administration that includes, but is not limited to, the storage of medication and medication authorization. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. No children shall be in care during this training. Documentation of the training shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Mitchell contacted Ms. Quinn on 10/8/24 and training is scheduled for 10/29/24. Stipulation #4: Within two (2) weeks after Item #3 is completed, Ms. Mitchell shall revise the current policies and procedures regarding the administering and storage of medications for children and staff at the child care facility. The written policies and procedures must include a method for routine checks to ensure compliance with child care requirements. The written policies and procedures shall be submitted to Ms. McCotter for approval. If the training is completed on the scheduled date, revised policies will be due on or before 11/12/24. Stipulations #5: Within two (2) weeks after approval of the written policies and procedures in Item #4, a staff meeting shall be conducted to discuss the approved written policies and procedures. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the documentation shall be submitted to Ms. McCotter within three (3) days following the staff meeting. Documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 33 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 101 Time In: 01:34 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. Four groups of children were observed in the indoor learning space. Upon arrival, children enrolled in space #2, #4, and #5 were lying quietly on their individual cots/mats as soft music play. Teachers sat near the children. The groups later transisitoned personal care routines and snack. Children enrolled in space #1 engaged in tummy time, bottle feedings, and napping. Proper diapering procedures and handwashing techniques were observed. “All Eyes on Me” sheets were completed every thirty minutes. New staff files were reviewed. The following violation was observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1, the authorization for prescription Mupirocin ointment expired 8/27/24. The medication log show the ointment was applied on 8/28/24, 8/29/24, 8/30/24, 9/4/24 and 9/5/24. 10A NCAC 09 .0803(1)(a & 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 9/26/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Following medication prescription instructions help to ensure safe and effective treatment. Medications are designed to work in a specific dosages and schedules to achieve the desired therapeutic effect. Not following the instructions can reduce the effectiveness or even worsen the condition. Today I observed one tube of Mupirocin ointment with an authorization from the authorizes us 8/20/24 through 8/27/24. The pharmacy label states, “Apply 1 application topically 3 time a day for seven days.” The medication log shows the ointment was applied on 8/28/24, 8/29/24, 8/30/24, 9/4/24 and 9/5/24. It was reported that staff did not review the authorization date before applying the ointment. The audit log reflects at check of medications and authorizations was completed on 9/3/24. Today we discussed your current practices. Train staff on how to properly read medication authorization forms and completed medication audits. Medications should be administered according to the procedure outlined in the NC Child Care Health and Safety Resource Center’s Administering Medication in Child Care training, on the accompanying poster, available at www.healthychildcarenc.org/?page=posters and on the Checklist for Administering Medication, available at the Division of Child Development and Early Education’s website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/M/Medication_Administration_Checklist.pdf?ver=0OBaUfevjsY4oFG43QzzXg%3d%3d. Staff need to check that the name of the medication on the permission form is the same as the name of the medication on the container, check that the name of the child on the medication container is the same child to whom you will give the medication and check that the dates, times, dose and route on the medication container match the dates, times, dose and route permission form prior to administering medications. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented during today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/18/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. An extension was granted, making the documentation of staff review due on 4/12/24. Your submitted documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. You contacted Ms. Sherman on 3/25/24 and the training was held on 4/10/24. Documentation of the training was reviewed during today’s visit. Additional Comments: Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 33 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 101 Time In: 01:34 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. Four groups of children were observed in the indoor learning space. Upon arrival, children enrolled in space #2, #4, and #5 were lying quietly on their individual cots/mats as soft music play. Teachers sat near the children. The groups later transisitoned personal care routines and snack. Children enrolled in space #1 engaged in tummy time, bottle feedings, and napping. Proper diapering procedures and handwashing techniques were observed. “All Eyes on Me” sheets were completed every thirty minutes. New staff files were reviewed. The following violation was observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1, the authorization for prescription Mupirocin ointment expired 8/27/24. The medication log show the ointment was applied on 8/28/24, 8/29/24, 8/30/24, 9/4/24 and 9/5/24. 10A NCAC 09 .0803(1)(a & 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 9/26/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Following medication prescription instructions help to ensure safe and effective treatment. Medications are designed to work in a specific dosages and schedules to achieve the desired therapeutic effect. Not following the instructions can reduce the effectiveness or even worsen the condition. Today I observed one tube of Mupirocin ointment with an authorization from the authorizes us 8/20/24 through 8/27/24. The pharmacy label states, “Apply 1 application topically 3 time a day for seven days.” The medication log shows the ointment was applied on 8/28/24, 8/29/24, 8/30/24, 9/4/24 and 9/5/24. It was reported that staff did not review the authorization date before applying the ointment. The audit log reflects at check of medications and authorizations was completed on 9/3/24. Today we discussed your current practices. Train staff on how to properly read medication authorization forms and completed medication audits. Medications should be administered according to the procedure outlined in the NC Child Care Health and Safety Resource Center’s Administering Medication in Child Care training, on the accompanying poster, available at www.healthychildcarenc.org/?page=posters and on the Checklist for Administering Medication, available at the Division of Child Development and Early Education’s website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/M/Medication_Administration_Checklist.pdf?ver=0OBaUfevjsY4oFG43QzzXg%3d%3d. Staff need to check that the name of the medication on the permission form is the same as the name of the medication on the container, check that the name of the child on the medication container is the same child to whom you will give the medication and check that the dates, times, dose and route on the medication container match the dates, times, dose and route permission form prior to administering medications. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented during today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/18/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. An extension was granted, making the documentation of staff review due on 4/12/24. Your submitted documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. You contacted Ms. Sherman on 3/25/24 and the training was held on 4/10/24. Documentation of the training was reviewed during today’s visit. Additional Comments: Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0902 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/10/2024 Number Present: 27 Completed Date: 7/10/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:58 PM Time Out: 04:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 3, 2024, complaint visit. to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. Michelle O’Kelley, Child Care Consultant, accompanied me during the visit. Three groups of children were observed in the indoor space. Upon arrival, the children napped on their cots and mats. Teachers were present in each space, assisting children with diapering, handwashing, and transitions. Children later transitioned to snack time, consisting of apple slices, animal crackers, and water. The following violations documented during the July 3, 2024 visit were monitored for compliance during this visit: #107- The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. This is a violation of a requirement in GS 110-91; GS 110-106. I observed 27 children 1 to four years of age present in the build. It was reported that school-aged children only enter the building with their families during drop off and pick up times. #530- Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. This is a violation of a requirement in 10A NCAC 09 .0902(b). During today’s visit there were no infants present. You reported that children have been held or sat in the high chair for bottle feedings. #608- Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. This is a violation of a requirement in 15A NCAC 18A .2803(c). Proper handwashing procedures were observed in spaces #2, #3, and #5. #1756- Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. This is a violation of a requirement in 10A NCAC 09 .2818. Today I observed the appropriate number of staff present for the number of children to maintain staff/child ratios. Attendance records and staff time cards were reviewed and show an adequate number of staff were present for the number of children present since the last visit. As stated in the July 3, 2024 visit summary, all violations must be corrected immediately and a compliance letter verifying this was received on July 8, 2024. Today, I verified correction of four of the four violations. One additional violation was sited during the visit. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violation was documented. Violation Number Comment Rule 9995 A violation was found for which there is no item number. During a diaper change in space #5, the teacher placed a clean diaper under the fully dressed child, then removed the soiled diaper, closed the clean diaper and then redressed the child. This is a violation of Sanitation Rule 15A NCAC 18A .2819 (d) Diapering and Diaper Changing Facilities. 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 July 24, 2024, 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 considered 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Diaper Procedure-Following proper diapering procedure reduces the risk of spreading of germs from bodily fluids and human waste. Review the diaper changing procedure with staff in the classrooms where diapers and pull-ups are used and request training from the Child Care Health Consultant. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training is scheduled for 4/10/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .2204 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/10/2024 Number Present: 27 Completed Date: 7/10/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:58 PM Time Out: 04:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 3, 2024, complaint visit. to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. Michelle O’Kelley, Child Care Consultant, accompanied me during the visit. Three groups of children were observed in the indoor space. Upon arrival, the children napped on their cots and mats. Teachers were present in each space, assisting children with diapering, handwashing, and transitions. Children later transitioned to snack time, consisting of apple slices, animal crackers, and water. The following violations documented during the July 3, 2024 visit were monitored for compliance during this visit: #107- The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. This is a violation of a requirement in GS 110-91; GS 110-106. I observed 27 children 1 to four years of age present in the build. It was reported that school-aged children only enter the building with their families during drop off and pick up times. #530- Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. This is a violation of a requirement in 10A NCAC 09 .0902(b). During today’s visit there were no infants present. You reported that children have been held or sat in the high chair for bottle feedings. #608- Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. This is a violation of a requirement in 15A NCAC 18A .2803(c). Proper handwashing procedures were observed in spaces #2, #3, and #5. #1756- Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. This is a violation of a requirement in 10A NCAC 09 .2818. Today I observed the appropriate number of staff present for the number of children to maintain staff/child ratios. Attendance records and staff time cards were reviewed and show an adequate number of staff were present for the number of children present since the last visit. As stated in the July 3, 2024 visit summary, all violations must be corrected immediately and a compliance letter verifying this was received on July 8, 2024. Today, I verified correction of four of the four violations. One additional violation was sited during the visit. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violation was documented. Violation Number Comment Rule 9995 A violation was found for which there is no item number. During a diaper change in space #5, the teacher placed a clean diaper under the fully dressed child, then removed the soiled diaper, closed the clean diaper and then redressed the child. This is a violation of Sanitation Rule 15A NCAC 18A .2819 (d) Diapering and Diaper Changing Facilities. 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 July 24, 2024, 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 considered 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Diaper Procedure-Following proper diapering procedure reduces the risk of spreading of germs from bodily fluids and human waste. Review the diaper changing procedure with staff in the classrooms where diapers and pull-ups are used and request training from the Child Care Health Consultant. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training is scheduled for 4/10/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .2818 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/10/2024 Number Present: 27 Completed Date: 7/10/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:58 PM Time Out: 04:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 3, 2024, complaint visit. to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. Michelle O’Kelley, Child Care Consultant, accompanied me during the visit. Three groups of children were observed in the indoor space. Upon arrival, the children napped on their cots and mats. Teachers were present in each space, assisting children with diapering, handwashing, and transitions. Children later transitioned to snack time, consisting of apple slices, animal crackers, and water. The following violations documented during the July 3, 2024 visit were monitored for compliance during this visit: #107- The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. This is a violation of a requirement in GS 110-91; GS 110-106. I observed 27 children 1 to four years of age present in the build. It was reported that school-aged children only enter the building with their families during drop off and pick up times. #530- Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. This is a violation of a requirement in 10A NCAC 09 .0902(b). During today’s visit there were no infants present. You reported that children have been held or sat in the high chair for bottle feedings. #608- Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. This is a violation of a requirement in 15A NCAC 18A .2803(c). Proper handwashing procedures were observed in spaces #2, #3, and #5. #1756- Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. This is a violation of a requirement in 10A NCAC 09 .2818. Today I observed the appropriate number of staff present for the number of children to maintain staff/child ratios. Attendance records and staff time cards were reviewed and show an adequate number of staff were present for the number of children present since the last visit. As stated in the July 3, 2024 visit summary, all violations must be corrected immediately and a compliance letter verifying this was received on July 8, 2024. Today, I verified correction of four of the four violations. One additional violation was sited during the visit. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violation was documented. Violation Number Comment Rule 9995 A violation was found for which there is no item number. During a diaper change in space #5, the teacher placed a clean diaper under the fully dressed child, then removed the soiled diaper, closed the clean diaper and then redressed the child. This is a violation of Sanitation Rule 15A NCAC 18A .2819 (d) Diapering and Diaper Changing Facilities. 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 July 24, 2024, 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 considered 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Diaper Procedure-Following proper diapering procedure reduces the risk of spreading of germs from bodily fluids and human waste. Review the diaper changing procedure with staff in the classrooms where diapers and pull-ups are used and request training from the Child Care Health Consultant. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training is scheduled for 4/10/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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

GS 110-106 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/10/2024 Number Present: 27 Completed Date: 7/10/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:58 PM Time Out: 04:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 3, 2024, complaint visit. to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. Michelle O’Kelley, Child Care Consultant, accompanied me during the visit. Three groups of children were observed in the indoor space. Upon arrival, the children napped on their cots and mats. Teachers were present in each space, assisting children with diapering, handwashing, and transitions. Children later transitioned to snack time, consisting of apple slices, animal crackers, and water. The following violations documented during the July 3, 2024 visit were monitored for compliance during this visit: #107- The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. This is a violation of a requirement in GS 110-91; GS 110-106. I observed 27 children 1 to four years of age present in the build. It was reported that school-aged children only enter the building with their families during drop off and pick up times. #530- Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. This is a violation of a requirement in 10A NCAC 09 .0902(b). During today’s visit there were no infants present. You reported that children have been held or sat in the high chair for bottle feedings. #608- Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. This is a violation of a requirement in 15A NCAC 18A .2803(c). Proper handwashing procedures were observed in spaces #2, #3, and #5. #1756- Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. This is a violation of a requirement in 10A NCAC 09 .2818. Today I observed the appropriate number of staff present for the number of children to maintain staff/child ratios. Attendance records and staff time cards were reviewed and show an adequate number of staff were present for the number of children present since the last visit. As stated in the July 3, 2024 visit summary, all violations must be corrected immediately and a compliance letter verifying this was received on July 8, 2024. Today, I verified correction of four of the four violations. One additional violation was sited during the visit. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violation was documented. Violation Number Comment Rule 9995 A violation was found for which there is no item number. During a diaper change in space #5, the teacher placed a clean diaper under the fully dressed child, then removed the soiled diaper, closed the clean diaper and then redressed the child. This is a violation of Sanitation Rule 15A NCAC 18A .2819 (d) Diapering and Diaper Changing Facilities. 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 July 24, 2024, 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 considered 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Diaper Procedure-Following proper diapering procedure reduces the risk of spreading of germs from bodily fluids and human waste. Review the diaper changing procedure with staff in the classrooms where diapers and pull-ups are used and request training from the Child Care Health Consultant. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training is scheduled for 4/10/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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

GS 110-91 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/10/2024 Number Present: 27 Completed Date: 7/10/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:58 PM Time Out: 04:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 3, 2024, complaint visit. to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. Michelle O’Kelley, Child Care Consultant, accompanied me during the visit. Three groups of children were observed in the indoor space. Upon arrival, the children napped on their cots and mats. Teachers were present in each space, assisting children with diapering, handwashing, and transitions. Children later transitioned to snack time, consisting of apple slices, animal crackers, and water. The following violations documented during the July 3, 2024 visit were monitored for compliance during this visit: #107- The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. This is a violation of a requirement in GS 110-91; GS 110-106. I observed 27 children 1 to four years of age present in the build. It was reported that school-aged children only enter the building with their families during drop off and pick up times. #530- Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. This is a violation of a requirement in 10A NCAC 09 .0902(b). During today’s visit there were no infants present. You reported that children have been held or sat in the high chair for bottle feedings. #608- Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. This is a violation of a requirement in 15A NCAC 18A .2803(c). Proper handwashing procedures were observed in spaces #2, #3, and #5. #1756- Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. This is a violation of a requirement in 10A NCAC 09 .2818. Today I observed the appropriate number of staff present for the number of children to maintain staff/child ratios. Attendance records and staff time cards were reviewed and show an adequate number of staff were present for the number of children present since the last visit. As stated in the July 3, 2024 visit summary, all violations must be corrected immediately and a compliance letter verifying this was received on July 8, 2024. Today, I verified correction of four of the four violations. One additional violation was sited during the visit. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violation was documented. Violation Number Comment Rule 9995 A violation was found for which there is no item number. During a diaper change in space #5, the teacher placed a clean diaper under the fully dressed child, then removed the soiled diaper, closed the clean diaper and then redressed the child. This is a violation of Sanitation Rule 15A NCAC 18A .2819 (d) Diapering and Diaper Changing Facilities. 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 July 24, 2024, 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 considered 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Diaper Procedure-Following proper diapering procedure reduces the risk of spreading of germs from bodily fluids and human waste. Review the diaper changing procedure with staff in the classrooms where diapers and pull-ups are used and request training from the Child Care Health Consultant. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training is scheduled for 4/10/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/10/2024 Number Present: 27 Completed Date: 7/10/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:58 PM Time Out: 04:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 3, 2024, complaint visit. to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. Michelle O’Kelley, Child Care Consultant, accompanied me during the visit. Three groups of children were observed in the indoor space. Upon arrival, the children napped on their cots and mats. Teachers were present in each space, assisting children with diapering, handwashing, and transitions. Children later transitioned to snack time, consisting of apple slices, animal crackers, and water. The following violations documented during the July 3, 2024 visit were monitored for compliance during this visit: #107- The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. This is a violation of a requirement in GS 110-91; GS 110-106. I observed 27 children 1 to four years of age present in the build. It was reported that school-aged children only enter the building with their families during drop off and pick up times. #530- Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. This is a violation of a requirement in 10A NCAC 09 .0902(b). During today’s visit there were no infants present. You reported that children have been held or sat in the high chair for bottle feedings. #608- Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. This is a violation of a requirement in 15A NCAC 18A .2803(c). Proper handwashing procedures were observed in spaces #2, #3, and #5. #1756- Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. This is a violation of a requirement in 10A NCAC 09 .2818. Today I observed the appropriate number of staff present for the number of children to maintain staff/child ratios. Attendance records and staff time cards were reviewed and show an adequate number of staff were present for the number of children present since the last visit. As stated in the July 3, 2024 visit summary, all violations must be corrected immediately and a compliance letter verifying this was received on July 8, 2024. Today, I verified correction of four of the four violations. One additional violation was sited during the visit. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violation was documented. Violation Number Comment Rule 9995 A violation was found for which there is no item number. During a diaper change in space #5, the teacher placed a clean diaper under the fully dressed child, then removed the soiled diaper, closed the clean diaper and then redressed the child. This is a violation of Sanitation Rule 15A NCAC 18A .2819 (d) Diapering and Diaper Changing Facilities. 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 July 24, 2024, 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 considered 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Diaper Procedure-Following proper diapering procedure reduces the risk of spreading of germs from bodily fluids and human waste. Review the diaper changing procedure with staff in the classrooms where diapers and pull-ups are used and request training from the Child Care Health Consultant. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training is scheduled for 4/10/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0902 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/3/2024 Number Present: 33 Completed Date: 7/3/2024 Age: From 0 To 5 Total Minutes: 353 Time In: 07:42 AM Time Out: 12:31 PM Time In: 04:11 PM Time Out: 05:15 PM 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 child care requirements and to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. The allegations are as follows: There is a concern that sanitation guidelines are not being followed. There is a concern that staff/child ratios are not being followed. There is a concern that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care. There is a concern that infants were not held for bottle feedings. There is a concern that children were not adequately supervised. Observation: Four groups of children were observed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Medication administration, storage of hazardous products and emergency drills were also monitored. Files for new staff were reviewed and contained all the required information. Additionally, I observed the indoor and outdoor space used by the children. Children were observed in indoor and outdoor free play. Children engaged with blocks, and table top manipulative. In the outdoor spaces, children play on climbing structures and ride on toys. Teachers moved about the spaces, talking to the children as they played. Today’s menu consisted of hotdogs, baked beans, applesauce and milk. Based on the information provided regarding concerns that sanitation guidelines are not being followed, I completed classroom observations, and interviewed staff. I observed handwashing procedures where children applied soap to wet hands and placed them under the water without lathering them for 20 seconds. It was reported that children do not wash their hands before meals. Based on the above information, this allegation was confirmed. Regarding the allegation that staff/child ratios are not being followed I completed classroom observations, staff interviewed staff, and reviewed children’s attendance records, staff time cards, and All Eyes on Me forms. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. Staff time cards and children's attendance reflect there were not enough staff on site to maintain staff child ratios on June 14, 2024. It was reported that a school age child was sent to the preschool classrooms for where children one year of age are cared for. Based on the above information, this allegation was confirmed. Regarding the allegation that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care, I completed classroom observations and staff interviews. Children were observed crying. Staff acknowledged the child be talking with the child and walking over to them to give them a pacifier or hold them. It was reported that staff acknowledge the child that is upset by talking to them from across the room until they can reach the child. It was also reported that the staff ask for assistance, especially during feeding times. Based on the above information, this allegation was unconfirmed. Based on the information provided regarding concerns that infants were not held for bottle feedings, I completed classroom observations and interviewed staff. It was reported that children are placed in a bouncy seat while staff assist children in holding their bottle during feeding. Based on this information, this allegation was confirmed. Regarding the allegation that children were not adequately supervised, I completed classroom observations and completed staff interviews. Staff positioned themselves to see the children in care. Staff moved about the classroom and outdoor spaces, interacting with children through play and conversations. Staff complete an “All Eyes on Me” form every thirty minutes. It was reported that staff must be knowledgeable of here children are and what they are doing at all times and position themselves to see the children. Based on this information, this allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. GS 110-91; GS 110-106 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. 10A NCAC 09 .2818 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 7/17/24, 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 considered 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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/Child Ratios- When thinking staff-child ratios, you need to be mindful of the number of children in care and arrival and departure times of children and staff. It was confirmed that on one occasion, there were not enough staff present in the space to maintain staff child ratios. You stated that you have hired one addition staff member, whom started July 1th, one staff will be returning on Monday, July 8th and another tentatively returning on July 12th. You stated that you have also asked parents to not bring kids on days when the facility is short staffed. At this time, no more children need to be enrolled until you are fully staffed. Review staffing schedules to see if adjustments need to be made to their arrival and departure times to meet the needs of the children in care. Sanitation Guidelines- Proper handwashing can reduce the risk of spreading germs and disease. It was reported that children do not wash their hands before meals. Today, I observed children not completing all steps of the handwashing procedures. You stated you will speak with staff and have them model handwashing and encourage children to sing their ABCs during handwashing to ensure they lather long enough. Follow the five steps (Wet, Lather, Scrub, Rinse, Dry) to ensure proper and effective techniques are followed. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. Bottle Feedings- Today we discussed ensuring infants are held for feedings or placed in appropriate feeding apparatus until they can hold their bottles by themselves. It was reported that children are sometimes placed in a bouncy seat during feedings. You stated staff are aware of the expectations and you will remind staff to hold children or have them placed in a highchair. Holding infants and interacting with them while they are eating promotes healthy development of social and emotional skills for infants in care. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Four violations were documented on today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Your approved written plan states “When staff is out for the day, the floater or administrator will cover the classroom if needed. The administrator will check to make sure staff are in ratio. If children need to be moved, then administrator will make sure ratio the room the children are moving to is correct”. Based on confirmed allegations, the floater or administrator did not assist classroom teachers nor were children moved to maintaining staff/child ratios. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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 .2818 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/3/2024 Number Present: 33 Completed Date: 7/3/2024 Age: From 0 To 5 Total Minutes: 353 Time In: 07:42 AM Time Out: 12:31 PM Time In: 04:11 PM Time Out: 05:15 PM 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 child care requirements and to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. The allegations are as follows: There is a concern that sanitation guidelines are not being followed. There is a concern that staff/child ratios are not being followed. There is a concern that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care. There is a concern that infants were not held for bottle feedings. There is a concern that children were not adequately supervised. Observation: Four groups of children were observed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Medication administration, storage of hazardous products and emergency drills were also monitored. Files for new staff were reviewed and contained all the required information. Additionally, I observed the indoor and outdoor space used by the children. Children were observed in indoor and outdoor free play. Children engaged with blocks, and table top manipulative. In the outdoor spaces, children play on climbing structures and ride on toys. Teachers moved about the spaces, talking to the children as they played. Today’s menu consisted of hotdogs, baked beans, applesauce and milk. Based on the information provided regarding concerns that sanitation guidelines are not being followed, I completed classroom observations, and interviewed staff. I observed handwashing procedures where children applied soap to wet hands and placed them under the water without lathering them for 20 seconds. It was reported that children do not wash their hands before meals. Based on the above information, this allegation was confirmed. Regarding the allegation that staff/child ratios are not being followed I completed classroom observations, staff interviewed staff, and reviewed children’s attendance records, staff time cards, and All Eyes on Me forms. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. Staff time cards and children's attendance reflect there were not enough staff on site to maintain staff child ratios on June 14, 2024. It was reported that a school age child was sent to the preschool classrooms for where children one year of age are cared for. Based on the above information, this allegation was confirmed. Regarding the allegation that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care, I completed classroom observations and staff interviews. Children were observed crying. Staff acknowledged the child be talking with the child and walking over to them to give them a pacifier or hold them. It was reported that staff acknowledge the child that is upset by talking to them from across the room until they can reach the child. It was also reported that the staff ask for assistance, especially during feeding times. Based on the above information, this allegation was unconfirmed. Based on the information provided regarding concerns that infants were not held for bottle feedings, I completed classroom observations and interviewed staff. It was reported that children are placed in a bouncy seat while staff assist children in holding their bottle during feeding. Based on this information, this allegation was confirmed. Regarding the allegation that children were not adequately supervised, I completed classroom observations and completed staff interviews. Staff positioned themselves to see the children in care. Staff moved about the classroom and outdoor spaces, interacting with children through play and conversations. Staff complete an “All Eyes on Me” form every thirty minutes. It was reported that staff must be knowledgeable of here children are and what they are doing at all times and position themselves to see the children. Based on this information, this allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. GS 110-91; GS 110-106 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. 10A NCAC 09 .2818 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 7/17/24, 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 considered 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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/Child Ratios- When thinking staff-child ratios, you need to be mindful of the number of children in care and arrival and departure times of children and staff. It was confirmed that on one occasion, there were not enough staff present in the space to maintain staff child ratios. You stated that you have hired one addition staff member, whom started July 1th, one staff will be returning on Monday, July 8th and another tentatively returning on July 12th. You stated that you have also asked parents to not bring kids on days when the facility is short staffed. At this time, no more children need to be enrolled until you are fully staffed. Review staffing schedules to see if adjustments need to be made to their arrival and departure times to meet the needs of the children in care. Sanitation Guidelines- Proper handwashing can reduce the risk of spreading germs and disease. It was reported that children do not wash their hands before meals. Today, I observed children not completing all steps of the handwashing procedures. You stated you will speak with staff and have them model handwashing and encourage children to sing their ABCs during handwashing to ensure they lather long enough. Follow the five steps (Wet, Lather, Scrub, Rinse, Dry) to ensure proper and effective techniques are followed. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. Bottle Feedings- Today we discussed ensuring infants are held for feedings or placed in appropriate feeding apparatus until they can hold their bottles by themselves. It was reported that children are sometimes placed in a bouncy seat during feedings. You stated staff are aware of the expectations and you will remind staff to hold children or have them placed in a highchair. Holding infants and interacting with them while they are eating promotes healthy development of social and emotional skills for infants in care. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Four violations were documented on today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Your approved written plan states “When staff is out for the day, the floater or administrator will cover the classroom if needed. The administrator will check to make sure staff are in ratio. If children need to be moved, then administrator will make sure ratio the room the children are moving to is correct”. Based on confirmed allegations, the floater or administrator did not assist classroom teachers nor were children moved to maintaining staff/child ratios. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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

GS 110-106 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/3/2024 Number Present: 33 Completed Date: 7/3/2024 Age: From 0 To 5 Total Minutes: 353 Time In: 07:42 AM Time Out: 12:31 PM Time In: 04:11 PM Time Out: 05:15 PM 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 child care requirements and to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. The allegations are as follows: There is a concern that sanitation guidelines are not being followed. There is a concern that staff/child ratios are not being followed. There is a concern that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care. There is a concern that infants were not held for bottle feedings. There is a concern that children were not adequately supervised. Observation: Four groups of children were observed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Medication administration, storage of hazardous products and emergency drills were also monitored. Files for new staff were reviewed and contained all the required information. Additionally, I observed the indoor and outdoor space used by the children. Children were observed in indoor and outdoor free play. Children engaged with blocks, and table top manipulative. In the outdoor spaces, children play on climbing structures and ride on toys. Teachers moved about the spaces, talking to the children as they played. Today’s menu consisted of hotdogs, baked beans, applesauce and milk. Based on the information provided regarding concerns that sanitation guidelines are not being followed, I completed classroom observations, and interviewed staff. I observed handwashing procedures where children applied soap to wet hands and placed them under the water without lathering them for 20 seconds. It was reported that children do not wash their hands before meals. Based on the above information, this allegation was confirmed. Regarding the allegation that staff/child ratios are not being followed I completed classroom observations, staff interviewed staff, and reviewed children’s attendance records, staff time cards, and All Eyes on Me forms. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. Staff time cards and children's attendance reflect there were not enough staff on site to maintain staff child ratios on June 14, 2024. It was reported that a school age child was sent to the preschool classrooms for where children one year of age are cared for. Based on the above information, this allegation was confirmed. Regarding the allegation that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care, I completed classroom observations and staff interviews. Children were observed crying. Staff acknowledged the child be talking with the child and walking over to them to give them a pacifier or hold them. It was reported that staff acknowledge the child that is upset by talking to them from across the room until they can reach the child. It was also reported that the staff ask for assistance, especially during feeding times. Based on the above information, this allegation was unconfirmed. Based on the information provided regarding concerns that infants were not held for bottle feedings, I completed classroom observations and interviewed staff. It was reported that children are placed in a bouncy seat while staff assist children in holding their bottle during feeding. Based on this information, this allegation was confirmed. Regarding the allegation that children were not adequately supervised, I completed classroom observations and completed staff interviews. Staff positioned themselves to see the children in care. Staff moved about the classroom and outdoor spaces, interacting with children through play and conversations. Staff complete an “All Eyes on Me” form every thirty minutes. It was reported that staff must be knowledgeable of here children are and what they are doing at all times and position themselves to see the children. Based on this information, this allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. GS 110-91; GS 110-106 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. 10A NCAC 09 .2818 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 7/17/24, 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 considered 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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/Child Ratios- When thinking staff-child ratios, you need to be mindful of the number of children in care and arrival and departure times of children and staff. It was confirmed that on one occasion, there were not enough staff present in the space to maintain staff child ratios. You stated that you have hired one addition staff member, whom started July 1th, one staff will be returning on Monday, July 8th and another tentatively returning on July 12th. You stated that you have also asked parents to not bring kids on days when the facility is short staffed. At this time, no more children need to be enrolled until you are fully staffed. Review staffing schedules to see if adjustments need to be made to their arrival and departure times to meet the needs of the children in care. Sanitation Guidelines- Proper handwashing can reduce the risk of spreading germs and disease. It was reported that children do not wash their hands before meals. Today, I observed children not completing all steps of the handwashing procedures. You stated you will speak with staff and have them model handwashing and encourage children to sing their ABCs during handwashing to ensure they lather long enough. Follow the five steps (Wet, Lather, Scrub, Rinse, Dry) to ensure proper and effective techniques are followed. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. Bottle Feedings- Today we discussed ensuring infants are held for feedings or placed in appropriate feeding apparatus until they can hold their bottles by themselves. It was reported that children are sometimes placed in a bouncy seat during feedings. You stated staff are aware of the expectations and you will remind staff to hold children or have them placed in a highchair. Holding infants and interacting with them while they are eating promotes healthy development of social and emotional skills for infants in care. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Four violations were documented on today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Your approved written plan states “When staff is out for the day, the floater or administrator will cover the classroom if needed. The administrator will check to make sure staff are in ratio. If children need to be moved, then administrator will make sure ratio the room the children are moving to is correct”. Based on confirmed allegations, the floater or administrator did not assist classroom teachers nor were children moved to maintaining staff/child ratios. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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

GS 110-91 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/3/2024 Number Present: 33 Completed Date: 7/3/2024 Age: From 0 To 5 Total Minutes: 353 Time In: 07:42 AM Time Out: 12:31 PM Time In: 04:11 PM Time Out: 05:15 PM 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 child care requirements and to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. The allegations are as follows: There is a concern that sanitation guidelines are not being followed. There is a concern that staff/child ratios are not being followed. There is a concern that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care. There is a concern that infants were not held for bottle feedings. There is a concern that children were not adequately supervised. Observation: Four groups of children were observed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Medication administration, storage of hazardous products and emergency drills were also monitored. Files for new staff were reviewed and contained all the required information. Additionally, I observed the indoor and outdoor space used by the children. Children were observed in indoor and outdoor free play. Children engaged with blocks, and table top manipulative. In the outdoor spaces, children play on climbing structures and ride on toys. Teachers moved about the spaces, talking to the children as they played. Today’s menu consisted of hotdogs, baked beans, applesauce and milk. Based on the information provided regarding concerns that sanitation guidelines are not being followed, I completed classroom observations, and interviewed staff. I observed handwashing procedures where children applied soap to wet hands and placed them under the water without lathering them for 20 seconds. It was reported that children do not wash their hands before meals. Based on the above information, this allegation was confirmed. Regarding the allegation that staff/child ratios are not being followed I completed classroom observations, staff interviewed staff, and reviewed children’s attendance records, staff time cards, and All Eyes on Me forms. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. Staff time cards and children's attendance reflect there were not enough staff on site to maintain staff child ratios on June 14, 2024. It was reported that a school age child was sent to the preschool classrooms for where children one year of age are cared for. Based on the above information, this allegation was confirmed. Regarding the allegation that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care, I completed classroom observations and staff interviews. Children were observed crying. Staff acknowledged the child be talking with the child and walking over to them to give them a pacifier or hold them. It was reported that staff acknowledge the child that is upset by talking to them from across the room until they can reach the child. It was also reported that the staff ask for assistance, especially during feeding times. Based on the above information, this allegation was unconfirmed. Based on the information provided regarding concerns that infants were not held for bottle feedings, I completed classroom observations and interviewed staff. It was reported that children are placed in a bouncy seat while staff assist children in holding their bottle during feeding. Based on this information, this allegation was confirmed. Regarding the allegation that children were not adequately supervised, I completed classroom observations and completed staff interviews. Staff positioned themselves to see the children in care. Staff moved about the classroom and outdoor spaces, interacting with children through play and conversations. Staff complete an “All Eyes on Me” form every thirty minutes. It was reported that staff must be knowledgeable of here children are and what they are doing at all times and position themselves to see the children. Based on this information, this allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. GS 110-91; GS 110-106 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. 10A NCAC 09 .2818 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 7/17/24, 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 considered 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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/Child Ratios- When thinking staff-child ratios, you need to be mindful of the number of children in care and arrival and departure times of children and staff. It was confirmed that on one occasion, there were not enough staff present in the space to maintain staff child ratios. You stated that you have hired one addition staff member, whom started July 1th, one staff will be returning on Monday, July 8th and another tentatively returning on July 12th. You stated that you have also asked parents to not bring kids on days when the facility is short staffed. At this time, no more children need to be enrolled until you are fully staffed. Review staffing schedules to see if adjustments need to be made to their arrival and departure times to meet the needs of the children in care. Sanitation Guidelines- Proper handwashing can reduce the risk of spreading germs and disease. It was reported that children do not wash their hands before meals. Today, I observed children not completing all steps of the handwashing procedures. You stated you will speak with staff and have them model handwashing and encourage children to sing their ABCs during handwashing to ensure they lather long enough. Follow the five steps (Wet, Lather, Scrub, Rinse, Dry) to ensure proper and effective techniques are followed. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. Bottle Feedings- Today we discussed ensuring infants are held for feedings or placed in appropriate feeding apparatus until they can hold their bottles by themselves. It was reported that children are sometimes placed in a bouncy seat during feedings. You stated staff are aware of the expectations and you will remind staff to hold children or have them placed in a highchair. Holding infants and interacting with them while they are eating promotes healthy development of social and emotional skills for infants in care. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Four violations were documented on today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Your approved written plan states “When staff is out for the day, the floater or administrator will cover the classroom if needed. The administrator will check to make sure staff are in ratio. If children need to be moved, then administrator will make sure ratio the room the children are moving to is correct”. Based on confirmed allegations, the floater or administrator did not assist classroom teachers nor were children moved to maintaining staff/child ratios. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0624-242L Visit Date: 7/3/2024 Number Present: 33 Completed Date: 7/3/2024 Age: From 0 To 5 Total Minutes: 353 Time In: 07:42 AM Time Out: 12:31 PM Time In: 04:11 PM Time Out: 05:15 PM 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 child care requirements and to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. The allegations are as follows: There is a concern that sanitation guidelines are not being followed. There is a concern that staff/child ratios are not being followed. There is a concern that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care. There is a concern that infants were not held for bottle feedings. There is a concern that children were not adequately supervised. Observation: Four groups of children were observed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Medication administration, storage of hazardous products and emergency drills were also monitored. Files for new staff were reviewed and contained all the required information. Additionally, I observed the indoor and outdoor space used by the children. Children were observed in indoor and outdoor free play. Children engaged with blocks, and table top manipulative. In the outdoor spaces, children play on climbing structures and ride on toys. Teachers moved about the spaces, talking to the children as they played. Today’s menu consisted of hotdogs, baked beans, applesauce and milk. Based on the information provided regarding concerns that sanitation guidelines are not being followed, I completed classroom observations, and interviewed staff. I observed handwashing procedures where children applied soap to wet hands and placed them under the water without lathering them for 20 seconds. It was reported that children do not wash their hands before meals. Based on the above information, this allegation was confirmed. Regarding the allegation that staff/child ratios are not being followed I completed classroom observations, staff interviewed staff, and reviewed children’s attendance records, staff time cards, and All Eyes on Me forms. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. Staff time cards and children's attendance reflect there were not enough staff on site to maintain staff child ratios on June 14, 2024. It was reported that a school age child was sent to the preschool classrooms for where children one year of age are cared for. Based on the above information, this allegation was confirmed. Regarding the allegation that staff did not respond at their earliest opportunity to the emotional and physical needs of an infant in their care, I completed classroom observations and staff interviews. Children were observed crying. Staff acknowledged the child be talking with the child and walking over to them to give them a pacifier or hold them. It was reported that staff acknowledge the child that is upset by talking to them from across the room until they can reach the child. It was also reported that the staff ask for assistance, especially during feeding times. Based on the above information, this allegation was unconfirmed. Based on the information provided regarding concerns that infants were not held for bottle feedings, I completed classroom observations and interviewed staff. It was reported that children are placed in a bouncy seat while staff assist children in holding their bottle during feeding. Based on this information, this allegation was confirmed. Regarding the allegation that children were not adequately supervised, I completed classroom observations and completed staff interviews. Staff positioned themselves to see the children in care. Staff moved about the classroom and outdoor spaces, interacting with children through play and conversations. Staff complete an “All Eyes on Me” form every thirty minutes. It was reported that staff must be knowledgeable of here children are and what they are doing at all times and position themselves to see the children. Based on this information, this allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. It was reported that school age children were cared for in the preschool building. GS 110-91; GS 110-106 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed not lathering their hands for twenty seconds in spaces #3 and #5. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member. 10A NCAC 09 .2818 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 7/17/24, 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 considered 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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/Child Ratios- When thinking staff-child ratios, you need to be mindful of the number of children in care and arrival and departure times of children and staff. It was confirmed that on one occasion, there were not enough staff present in the space to maintain staff child ratios. You stated that you have hired one addition staff member, whom started July 1th, one staff will be returning on Monday, July 8th and another tentatively returning on July 12th. You stated that you have also asked parents to not bring kids on days when the facility is short staffed. At this time, no more children need to be enrolled until you are fully staffed. Review staffing schedules to see if adjustments need to be made to their arrival and departure times to meet the needs of the children in care. Sanitation Guidelines- Proper handwashing can reduce the risk of spreading germs and disease. It was reported that children do not wash their hands before meals. Today, I observed children not completing all steps of the handwashing procedures. You stated you will speak with staff and have them model handwashing and encourage children to sing their ABCs during handwashing to ensure they lather long enough. Follow the five steps (Wet, Lather, Scrub, Rinse, Dry) to ensure proper and effective techniques are followed. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. Bottle Feedings- Today we discussed ensuring infants are held for feedings or placed in appropriate feeding apparatus until they can hold their bottles by themselves. It was reported that children are sometimes placed in a bouncy seat during feedings. You stated staff are aware of the expectations and you will remind staff to hold children or have them placed in a highchair. Holding infants and interacting with them while they are eating promotes healthy development of social and emotional skills for infants in care. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Four violations were documented on today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell completed a staff meeting on 4/10/24 and staff meeting documentation was received on 4/12/24. Your approved written plan states “When staff is out for the day, the floater or administrator will cover the classroom if needed. The administrator will check to make sure staff are in ratio. If children need to be moved, then administrator will make sure ratio the room the children are moving to is correct”. Based on confirmed allegations, the floater or administrator did not assist classroom teachers nor were children moved to maintaining staff/child ratios. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training with Chantale Sherman, Healthy Social Behavior Specialist, was held 4/10/24 and a staff sign-in sheet was on file for review. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/30/2024 Number Present: 36 Completed Date: 5/30/2024 Age: From 0 To 5 Total Minutes: 204 Time In: 08:41 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 1/5/24, I spoke with you via telephone, you received the action on 1/5/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan and Stipulations to be completed. You, W. Mitchell, owner/director, assisted me with the visit as needed. Children throughout the facility were engaged in indoor freeplay in centers. The teachers moved around the spaces talking to and playing with the child. When the groups transitioned in the outdoor spaces, the teachers position themselves to see all the children in the outdoor areas. “All Eyes on Me” sheets were completed every thirty minutes. Proper handwashing techniques were observed. The following violations were documented. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One canister of Triamicolone 0.1% was stored on an open shelf above five feet in the changing area of space #2. 15A NCAC 18A .2820(d) 843 A drug or medicine was administered after its expiration date. One tube of Budreaux Butt Paste with an expiration date of 4/2024 was located in the diapering area of space #2. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Ventolin HFA was stored in a Ziplock bag without the original labeled container. .0803(2)(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 6/13/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill and knowledge. All medications must be properly stored and be accompanied by an authorization form. Child Care Rule 10A NCAC 09 .0803 states prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. All medications that are expired or have expired authorizations, must be returned to the family or disposed of within 72 hours. All non-emergency medications, other than diaper rash creams, must be in locked storage. You reported you have your staff monitor the medications for their assigned classrooms and are to report any errors or concerns to the center administrator and no reports have been made. Today we reviewed your facilities medication policy and practices. Complete regular audits of mediation and train your staff on how to properly monitor the medications and authorizations. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Three (3) violations were documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/18/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. An extension was granted, making the documentation of staff review due on 4/12/24. Your submitted documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. You contacted Ms. Sherman on 3/25/24 and the training was held on 4/10/24. Documentation of the training was reviewed during today’s visit. Additional Comments: Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/30/2024 Number Present: 36 Completed Date: 5/30/2024 Age: From 0 To 5 Total Minutes: 204 Time In: 08:41 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 1/5/24, I spoke with you via telephone, you received the action on 1/5/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan and Stipulations to be completed. You, W. Mitchell, owner/director, assisted me with the visit as needed. Children throughout the facility were engaged in indoor freeplay in centers. The teachers moved around the spaces talking to and playing with the child. When the groups transitioned in the outdoor spaces, the teachers position themselves to see all the children in the outdoor areas. “All Eyes on Me” sheets were completed every thirty minutes. Proper handwashing techniques were observed. The following violations were documented. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One canister of Triamicolone 0.1% was stored on an open shelf above five feet in the changing area of space #2. 15A NCAC 18A .2820(d) 843 A drug or medicine was administered after its expiration date. One tube of Budreaux Butt Paste with an expiration date of 4/2024 was located in the diapering area of space #2. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Ventolin HFA was stored in a Ziplock bag without the original labeled container. .0803(2)(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 6/13/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill and knowledge. All medications must be properly stored and be accompanied by an authorization form. Child Care Rule 10A NCAC 09 .0803 states prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. All medications that are expired or have expired authorizations, must be returned to the family or disposed of within 72 hours. All non-emergency medications, other than diaper rash creams, must be in locked storage. You reported you have your staff monitor the medications for their assigned classrooms and are to report any errors or concerns to the center administrator and no reports have been made. Today we reviewed your facilities medication policy and practices. Complete regular audits of mediation and train your staff on how to properly monitor the medications and authorizations. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Three (3) violations were documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/18/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. An extension was granted, making the documentation of staff review due on 4/12/24. Your submitted documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. You contacted Ms. Sherman on 3/25/24 and the training was held on 4/10/24. Documentation of the training was reviewed during today’s visit. Additional Comments: Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/30/2024 Number Present: 36 Completed Date: 5/30/2024 Age: From 0 To 5 Total Minutes: 204 Time In: 08:41 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. On 1/5/24, I spoke with you via telephone, you received the action on 1/5/24, we reviewed the contents of the Administrative Action, including the Basis for Action, Corrective Action Plan and Stipulations to be completed. You, W. Mitchell, owner/director, assisted me with the visit as needed. Children throughout the facility were engaged in indoor freeplay in centers. The teachers moved around the spaces talking to and playing with the child. When the groups transitioned in the outdoor spaces, the teachers position themselves to see all the children in the outdoor areas. “All Eyes on Me” sheets were completed every thirty minutes. Proper handwashing techniques were observed. The following violations were documented. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One canister of Triamicolone 0.1% was stored on an open shelf above five feet in the changing area of space #2. 15A NCAC 18A .2820(d) 843 A drug or medicine was administered after its expiration date. One tube of Budreaux Butt Paste with an expiration date of 4/2024 was located in the diapering area of space #2. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Ventolin HFA was stored in a Ziplock bag without the original labeled container. .0803(2)(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 6/13/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill and knowledge. All medications must be properly stored and be accompanied by an authorization form. Child Care Rule 10A NCAC 09 .0803 states prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. All medications that are expired or have expired authorizations, must be returned to the family or disposed of within 72 hours. All non-emergency medications, other than diaper rash creams, must be in locked storage. You reported you have your staff monitor the medications for their assigned classrooms and are to report any errors or concerns to the center administrator and no reports have been made. Today we reviewed your facilities medication policy and practices. Complete regular audits of mediation and train your staff on how to properly monitor the medications and authorizations. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Three (3) violations were documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/18/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. An extension was granted, making the documentation of staff review due on 4/12/24. Your submitted documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. You contacted Ms. Sherman on 3/25/24 and the training was held on 4/10/24. Documentation of the training was reviewed during today’s visit. Additional Comments: Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0302 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 36 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:40 AM Time Out: 01:15 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 child care and requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. W. Mitchell, Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/14/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for programmatic option of staff benefits package and infrastructure of parent involvement. The sanitation inspection was completed 12/29/23 with a “Superior” classification. The last fire inspection was conducted 5/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 4/17/24. The NC Secretary of State website was reviewed on 4/17/24 and Kids-R-Us 3 Preschool and Childcare, LLC, was listed as current-active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Five groups of children were observed. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Sleep charts were recorded as required. Children throughout the facility engaged in indoor and outdoor free play activities. Age-appropriate materials were stored on low lying shelves for easy access to the children. Educational posters were posted on the walls of the classrooms. Staff moved about the spaces, positioning themselves to easily view the children in care. The outdoor play spaces offer station climbing structures, push and ride toys, and balls to encourage vigorous gross motor play. Medication storage and authorizations were reviewed during the visit. Breakfast was observed and consisted of cheese toast, mixed fruit, and milk. The following violations were documented. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One of six children's record reviewed contained a medical report dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of six children's record reviewed contained immunization records dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 9995 A violation was found for which there is no item number. In space #4, the paint is peeling from the wall. This is a violation of Sanitation Rule 15A NCAC 18A .2825 Wall and Ceilings (a). There was cracked dry all and peeling paint on the wall of space #2 near the block and dramatic play area. There was peeling paint on the wall in space #5, near the block area. 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 5/2/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Indoor Environment– Child care programs should make sure that all indoor and outdoor environments are in good condition and safe to use. I observed cracked drywall and chipping paint space #2. There was also peeling paint in space #5 in the block area. You stated the staff had not reported it and you had not seen the damage when you visited the rooms. You moved furniture in front to the space and placed a work order for repair during the visit. Prior to caring for the children inspect the indoor and outdoor spaces for hazards. Children’s Health Assessment and Immunization Records - Each child shall have a health assessment and immunization record on file before being admitted or within 30 days following admission to a child care facility. One child enrolled on 12/5/22 had a medical report and immunization record submitted on 3/23/23. You reported that the child was enrolled under a previous administrator and your current practice is to tract the due dates and give parents bi-weekly reminders. Complete regular audits to ensure all required documents received and filed as required. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Two (2) violations were documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 2/20/23. Today, I reviewed required revisions with you. Additional information is required to clarify the procedures to maintain staff child ratio during the absence of staff members. Submit your revised plan by March 13, 2024. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. An extension was granted, making the documentation of staff review due on 4/12/24. Your submitted documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. You contacted Ms. Sherman on 3/25/24 and the training was held on 4/10/24. Documentation of the training was reviewed during today’s 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 mppfc.org. Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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.

GS110-91 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 36 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:40 AM Time Out: 01:15 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 child care and requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. W. Mitchell, Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/14/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for programmatic option of staff benefits package and infrastructure of parent involvement. The sanitation inspection was completed 12/29/23 with a “Superior” classification. The last fire inspection was conducted 5/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 4/17/24. The NC Secretary of State website was reviewed on 4/17/24 and Kids-R-Us 3 Preschool and Childcare, LLC, was listed as current-active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Five groups of children were observed. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Sleep charts were recorded as required. Children throughout the facility engaged in indoor and outdoor free play activities. Age-appropriate materials were stored on low lying shelves for easy access to the children. Educational posters were posted on the walls of the classrooms. Staff moved about the spaces, positioning themselves to easily view the children in care. The outdoor play spaces offer station climbing structures, push and ride toys, and balls to encourage vigorous gross motor play. Medication storage and authorizations were reviewed during the visit. Breakfast was observed and consisted of cheese toast, mixed fruit, and milk. The following violations were documented. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One of six children's record reviewed contained a medical report dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of six children's record reviewed contained immunization records dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 9995 A violation was found for which there is no item number. In space #4, the paint is peeling from the wall. This is a violation of Sanitation Rule 15A NCAC 18A .2825 Wall and Ceilings (a). There was cracked dry all and peeling paint on the wall of space #2 near the block and dramatic play area. There was peeling paint on the wall in space #5, near the block area. 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 5/2/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Indoor Environment– Child care programs should make sure that all indoor and outdoor environments are in good condition and safe to use. I observed cracked drywall and chipping paint space #2. There was also peeling paint in space #5 in the block area. You stated the staff had not reported it and you had not seen the damage when you visited the rooms. You moved furniture in front to the space and placed a work order for repair during the visit. Prior to caring for the children inspect the indoor and outdoor spaces for hazards. Children’s Health Assessment and Immunization Records - Each child shall have a health assessment and immunization record on file before being admitted or within 30 days following admission to a child care facility. One child enrolled on 12/5/22 had a medical report and immunization record submitted on 3/23/23. You reported that the child was enrolled under a previous administrator and your current practice is to tract the due dates and give parents bi-weekly reminders. Complete regular audits to ensure all required documents received and filed as required. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Two (2) violations were documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 2/20/23. Today, I reviewed required revisions with you. Additional information is required to clarify the procedures to maintain staff child ratio during the absence of staff members. Submit your revised plan by March 13, 2024. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. An extension was granted, making the documentation of staff review due on 4/12/24. Your submitted documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. You contacted Ms. Sherman on 3/25/24 and the training was held on 4/10/24. Documentation of the training was reviewed during today’s 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 mppfc.org. Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 36 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:40 AM Time Out: 01:15 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 child care and requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. W. Mitchell, Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/14/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for programmatic option of staff benefits package and infrastructure of parent involvement. The sanitation inspection was completed 12/29/23 with a “Superior” classification. The last fire inspection was conducted 5/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 4/17/24. The NC Secretary of State website was reviewed on 4/17/24 and Kids-R-Us 3 Preschool and Childcare, LLC, was listed as current-active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Five groups of children were observed. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Sleep charts were recorded as required. Children throughout the facility engaged in indoor and outdoor free play activities. Age-appropriate materials were stored on low lying shelves for easy access to the children. Educational posters were posted on the walls of the classrooms. Staff moved about the spaces, positioning themselves to easily view the children in care. The outdoor play spaces offer station climbing structures, push and ride toys, and balls to encourage vigorous gross motor play. Medication storage and authorizations were reviewed during the visit. Breakfast was observed and consisted of cheese toast, mixed fruit, and milk. The following violations were documented. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One of six children's record reviewed contained a medical report dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of six children's record reviewed contained immunization records dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 9995 A violation was found for which there is no item number. In space #4, the paint is peeling from the wall. This is a violation of Sanitation Rule 15A NCAC 18A .2825 Wall and Ceilings (a). There was cracked dry all and peeling paint on the wall of space #2 near the block and dramatic play area. There was peeling paint on the wall in space #5, near the block area. 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 5/2/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Indoor Environment– Child care programs should make sure that all indoor and outdoor environments are in good condition and safe to use. I observed cracked drywall and chipping paint space #2. There was also peeling paint in space #5 in the block area. You stated the staff had not reported it and you had not seen the damage when you visited the rooms. You moved furniture in front to the space and placed a work order for repair during the visit. Prior to caring for the children inspect the indoor and outdoor spaces for hazards. Children’s Health Assessment and Immunization Records - Each child shall have a health assessment and immunization record on file before being admitted or within 30 days following admission to a child care facility. One child enrolled on 12/5/22 had a medical report and immunization record submitted on 3/23/23. You reported that the child was enrolled under a previous administrator and your current practice is to tract the due dates and give parents bi-weekly reminders. Complete regular audits to ensure all required documents received and filed as required. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. Two (2) violations were documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 2/20/23. Today, I reviewed required revisions with you. Additional information is required to clarify the procedures to maintain staff child ratio during the absence of staff members. Submit your revised plan by March 13, 2024. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. An extension was granted, making the documentation of staff review due on 4/12/24. Your submitted documentation was received on 4/12/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. You contacted Ms. Sherman on 3/25/24 and the training was held on 4/10/24. Documentation of the training was reviewed during today’s 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 mppfc.org. Be knowledgeable of the child care laws and rules, review the 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/. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0324-312L Visit Date: 4/1/2024 Number Present: 35 Completed Date: 4/1/2024 Age: From 0 To 5 Total Minutes: 169 Time In: 01:06 PM Time Out: 03:55 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 child care requirements and to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. The allegations are as follows: There is a concern that medication was administered without written parent consent. Upon entrance of the facility, I reviewed the Administrative Action-Written Warning, Cover Letter and Corrective Action Plan posted on the information board in the lobby, visible to staff and parents. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. Upon arrival, children were napping in their individual cribs and cots. The groups later transitioned to snack and indoor and outdoor free play. Proper handwashing techniques and diapering procedures were observed. Teachers were observed assisting children with routine care and talking with the children. Today’s snack menu consisted of crackers, peanut butter, and water. Based on the information provided regarding concerns of medication being administered without written parent consent. I interviewed select staff, reviewed medication authorizations, and medication storage. It was reported at staff administered Slumber and Sleep lavender oil to a child. It was reported that the child’s parent said they would try the oil, but written authorization was not obtained prior to administering the oil to the child. The staff member was released from duty following the incident. In space #2 there was a jar of petroleum jelly with no authorization form. In space #6, there was one Ventolin HFA inhaler with an authorization form that expired on 3/20/24 and one tube of Desitin with an authorization form that expired on 1/13/24. Based on the above information, this allegation was confirmed. The following violation was observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A teacher in space #4 administered Slumber and Sleep Lavender oil to a child on 3/21/24 without written authorization. In space #2, there was a jar of petroleum jelly with no authorization form. In space #6, there was one Ventolin HFA inhaler with an authorization form that expired on 3/20/24 and one tube of Desitin with an authorization form that expired on 1/13/24. 10A NCAC 09 .0803(1)(a & 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 4/15/24, 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 considered 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication Authorization-No prescription or non-prescription medication (OTC) should be given to any child without written orders from a prescribing health professional and written permission from a parent/guardian. Staff must have clear, accurate instruction and medical confirmation of the need for the medication to be given while the child is in the facility. We discussed your current practices for receiving and storing medications. Conduct regular monitoring of the medications to ensure authorization are accurate and current. Have parents to drop medication and authorizations to the administrator, who will ensure all the required information is obtained before having the medication placed in the classroom. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell has a staff meeting planned for 4/10/24 and must submit staff meeting documentation no later than 4/13/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training is scheduled for 4/10/24. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0324-312L Visit Date: 4/1/2024 Number Present: 35 Completed Date: 4/1/2024 Age: From 0 To 5 Total Minutes: 169 Time In: 01:06 PM Time Out: 03:55 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 child care requirements and to monitor compliance with applicable child care requirements related to an Administrative Action Written Warning, dated January 2, 2024 issued to Kids-R-Us 3 Preschool and Childcare Center, LLC. The allegations are as follows: There is a concern that medication was administered without written parent consent. Upon entrance of the facility, I reviewed the Administrative Action-Written Warning, Cover Letter and Corrective Action Plan posted on the information board in the lobby, visible to staff and parents. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. Upon arrival, children were napping in their individual cribs and cots. The groups later transitioned to snack and indoor and outdoor free play. Proper handwashing techniques and diapering procedures were observed. Teachers were observed assisting children with routine care and talking with the children. Today’s snack menu consisted of crackers, peanut butter, and water. Based on the information provided regarding concerns of medication being administered without written parent consent. I interviewed select staff, reviewed medication authorizations, and medication storage. It was reported at staff administered Slumber and Sleep lavender oil to a child. It was reported that the child’s parent said they would try the oil, but written authorization was not obtained prior to administering the oil to the child. The staff member was released from duty following the incident. In space #2 there was a jar of petroleum jelly with no authorization form. In space #6, there was one Ventolin HFA inhaler with an authorization form that expired on 3/20/24 and one tube of Desitin with an authorization form that expired on 1/13/24. Based on the above information, this allegation was confirmed. The following violation was observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A teacher in space #4 administered Slumber and Sleep Lavender oil to a child on 3/21/24 without written authorization. In space #2, there was a jar of petroleum jelly with no authorization form. In space #6, there was one Ventolin HFA inhaler with an authorization form that expired on 3/20/24 and one tube of Desitin with an authorization form that expired on 1/13/24. 10A NCAC 09 .0803(1)(a & 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 4/15/24, 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 considered 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication Authorization-No prescription or non-prescription medication (OTC) should be given to any child without written orders from a prescribing health professional and written permission from a parent/guardian. Staff must have clear, accurate instruction and medical confirmation of the need for the medication to be given while the child is in the facility. We discussed your current practices for receiving and storing medications. Conduct regular monitoring of the medications to ensure authorization are accurate and current. Have parents to drop medication and authorizations to the administrator, who will ensure all the required information is obtained before having the medication placed in the classroom. Corrective Action Plan: Stipulation #1: Marinating compliance with NC Child Care Requirements. One violation was documented today’s visit. Stipulation #2: Within two (2) weeks after the Notice is received, Wendy Mitchell, administrator, shall develop written policies and procedures the facility will take to ensure enhanced staff/child ratios are met throughout the day. Written policies and procedures were received on 3/6/24 and approved on 3/19/24. Stipulation #3: Within one (1) week after the approval of the written policies and procedures in Item #2, Ms. Mitchell shall conduct a staff meeting with all staff to discuss the approved written policies and procedures. Documentation shall be submitted to Ms. McCotter within three (3) days following the meeting. Ms. Michell has a staff meeting planned for 4/10/24 and must submit staff meeting documentation no later than 4/13/24. Stipulation #4: Within one (1) week after completion of the review of the policies and procedures in Item #3, Ms. Michell shall contact Chantale Sherman, Healthy Social Behavior Specialist, Martin-Pitt Partnership for Children, telephone number 252-758-8885, email csherman@mppfc.org, to arrange for the training, Behavioral Intervention Strategies. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Michell contacted Ms. Sherman on 3/25/24. The training is scheduled for 4/10/24. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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

GS 110-106 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0923-148L Visit Date: 9/22/2023 Number Present: 29 Completed Date: 9/22/2023 Age: From 0 To 4 Total Minutes: 450 Time In: 08:25 AM Time Out: 03:55 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 verify corrections of violations documented during my 9/11/23 unannounced follow up visit and to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns regarding staff qualifications. There are concerns that staff/child ratios are not being followed. There are concerns that children are not being adequately supervised. There are concerns that inappropriate discipline was used. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Staff files were reviewed and contained all required information. Children were observed in indoor free play. Children moved about the space freely, exploring the learning materials located on low lying shelves. I observed the teachers assisting children with routine care, comforting children that were upset, singing songs, and doing finger plays with the children. Today’s menu consisted of hot dogs, baked beans, applesauce, bread, and milk. Regarding the allegation that children are not being adequately supervised. I completed classroom observations and interviewed the administrator and staff. I observed eighteen children, one to four years of age, present in space #3 with two teachers. Based on the above information, this allegation was confirmed. Regarding the allegation that inappropriate discipline was used, I completed classrooms observations and interviewed staff. It was reported that a staff member was witnessed former staff hitting and pinching children. The accused staff member is no longer employed at the facility. Based on the above information, this allegation was confirmed. The following violations documented during the 9/11/23 visit were monitored for compliance during this visit: #107- The center did not comply with the permit restrictions. A child 8 years of age was being cared for in space #3, therefore not meeting the permitted age restriction. This is a violation of a requirement in GS 110-91; GS 110-106. Today, all children present were zero to four year of age, therefore meeting the permitted age restriction. #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. Three plastic bags storing children's clothing and diapers/pullups were stored in open cubbies below five feet in space #6. This is a violation of a requirement in .0604(q). Today there were no plastic bags located in children’s cubbies. All plastic bags were located in locked storage or above five feet and were inaccessible to children. #303- Children were not adequately supervised at all times. One staff member we present with seven children, one year of age. This is a violation of a requirement in .1801(a)(1-5). Today thirteen children, one to five years of age, were present with two teachers in space #3. The following violation(s) were observed: Violation Number Comment Rule 872 The discipline policy was not followed. It was reported that a former staff member pinch and hit children. .1803 1844 The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. Eighteen children, one to four years of age, were located in space #3 with two teachers. .0713(a)(2) The allegations were shared with you, W. Michell, Owner/administrator and you were given an opportunity to respond. The investigation is on-going and a follow-up visit will be made. Supervision - Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. You stated the mixed age group it typically moved to their classroom when their teachers arrive, however today a teacher completed a different task before transitioning her class. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. The importance of supervision is to protect children not only from physical injury but also from harm that can occur from topics discussed by children or by teasing/bullying/inappropriate behavior. Please be reminded that repeated violations could result in the issuance of administrative actions. Discipline – Praise and positive reinforcement are effective methods of the behavior management of children. When children receive positive, non-violent, and understanding interactions from adults and others, they develop good self-concepts, problem solving abilities, and self-discipline. It was reported that a former staff teacher was observed hitting and pinching children to punish. You stated you were unaware of an incident and it must have occurred prior to becoming the on-site administrator. You report your policy requires staff to redirect children and teach them the acceptable behavior. Physical punishment of any type does not promote positive relationships or provide children with the guidance they need to learn to make good choices. Review your discipline policy with all staff to remind them to use positive guidance techniques and Role play discipline scenarios to help staff build and practice positive guidance. Request training and classroom observations from the Health Behavior Specialist at Martin-Pitt Partnership for Children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at (252) 751-8634 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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.

GS 110-91 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0923-148L Visit Date: 9/22/2023 Number Present: 29 Completed Date: 9/22/2023 Age: From 0 To 4 Total Minutes: 450 Time In: 08:25 AM Time Out: 03:55 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 verify corrections of violations documented during my 9/11/23 unannounced follow up visit and to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns regarding staff qualifications. There are concerns that staff/child ratios are not being followed. There are concerns that children are not being adequately supervised. There are concerns that inappropriate discipline was used. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Staff files were reviewed and contained all required information. Children were observed in indoor free play. Children moved about the space freely, exploring the learning materials located on low lying shelves. I observed the teachers assisting children with routine care, comforting children that were upset, singing songs, and doing finger plays with the children. Today’s menu consisted of hot dogs, baked beans, applesauce, bread, and milk. Regarding the allegation that children are not being adequately supervised. I completed classroom observations and interviewed the administrator and staff. I observed eighteen children, one to four years of age, present in space #3 with two teachers. Based on the above information, this allegation was confirmed. Regarding the allegation that inappropriate discipline was used, I completed classrooms observations and interviewed staff. It was reported that a staff member was witnessed former staff hitting and pinching children. The accused staff member is no longer employed at the facility. Based on the above information, this allegation was confirmed. The following violations documented during the 9/11/23 visit were monitored for compliance during this visit: #107- The center did not comply with the permit restrictions. A child 8 years of age was being cared for in space #3, therefore not meeting the permitted age restriction. This is a violation of a requirement in GS 110-91; GS 110-106. Today, all children present were zero to four year of age, therefore meeting the permitted age restriction. #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. Three plastic bags storing children's clothing and diapers/pullups were stored in open cubbies below five feet in space #6. This is a violation of a requirement in .0604(q). Today there were no plastic bags located in children’s cubbies. All plastic bags were located in locked storage or above five feet and were inaccessible to children. #303- Children were not adequately supervised at all times. One staff member we present with seven children, one year of age. This is a violation of a requirement in .1801(a)(1-5). Today thirteen children, one to five years of age, were present with two teachers in space #3. The following violation(s) were observed: Violation Number Comment Rule 872 The discipline policy was not followed. It was reported that a former staff member pinch and hit children. .1803 1844 The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. Eighteen children, one to four years of age, were located in space #3 with two teachers. .0713(a)(2) The allegations were shared with you, W. Michell, Owner/administrator and you were given an opportunity to respond. The investigation is on-going and a follow-up visit will be made. Supervision - Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. You stated the mixed age group it typically moved to their classroom when their teachers arrive, however today a teacher completed a different task before transitioning her class. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. The importance of supervision is to protect children not only from physical injury but also from harm that can occur from topics discussed by children or by teasing/bullying/inappropriate behavior. Please be reminded that repeated violations could result in the issuance of administrative actions. Discipline – Praise and positive reinforcement are effective methods of the behavior management of children. When children receive positive, non-violent, and understanding interactions from adults and others, they develop good self-concepts, problem solving abilities, and self-discipline. It was reported that a former staff teacher was observed hitting and pinching children to punish. You stated you were unaware of an incident and it must have occurred prior to becoming the on-site administrator. You report your policy requires staff to redirect children and teach them the acceptable behavior. Physical punishment of any type does not promote positive relationships or provide children with the guidance they need to learn to make good choices. Review your discipline policy with all staff to remind them to use positive guidance techniques and Role play discipline scenarios to help staff build and practice positive guidance. Request training and classroom observations from the Health Behavior Specialist at Martin-Pitt Partnership for Children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at (252) 751-8634 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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 .2818 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/11/2023 Number Present: 32 Completed Date: 9/11/2023 Age: From 0 To 8 Total Minutes: 194 Time In: 10:31 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my 9/7/23 Routine Unannounced visit. Upon arrival four of the five groups of children were engaged in indoor free play with blocks, books, and dramatic play materials. Teachers sat near the children, engaged in conversations with the children and assisting them with their activities. Children enrolled in space #6 engaged in outdoor free play including the climbing structure, balls, and ride on toys. The teacher moved about the space monitoring their play and talking with the children. The following violations documented during the 9/7/23 visit were monitored for compliance during this visit 303-Children were not adequately supervised at all times. One child was unattended in space #6. This is a violation of a requirement in .1801(a)(1-5). Today I observed enough staff in each classroom, staff actively supervised children and positioned themselves to see and hear all children in their care. 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. Five Ziplock and grocery bags were observed in space #6. This is a violation of a requirement in .0604(q). Today I observed three plastic grocery bags in children’s cubbies in space #6. You removed them during the visit. 1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff employed on 7/24/23 had Emergency Information form on file dated 8/24/23, therefore it was not on file on or before the first day of work. This is a violation of a requirement in .0701(a). This violation is pending provider’s response. 1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 5/15/23 did not have documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. This is a violation of a requirement in .0608(d)(1-4). Today I reviewed select staff files and found the documentation of the review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy to be recorded and filed as required. 9995-A violation was found for which there is no item number. A ProAir, HFA inhaler was stored in a cubby below five feet in space #6. This is a violation of sanitation rule 15A NCAC 18A .2820(d). Today I observed all emergency inhalers to be stored above five feet in all monitored areas. The following violations were documented today and included one repeated violations as reflected in the violation customization. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. A child 8 years of age was being cared for in space #3, therefore not meeting the permitted age restriction. GS 110-91; GS 110-106 858 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. Three plastic bags storing children's clothing and diapers/pullups were stored in open cubbies below five feet in space #6. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. One staff member was present with seven children, one year of age. 10A NCAC 09 .2818 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 9/25/23, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: On 9/7/23, a safe indoor environment violation in relation to plastic bags was observed and documented. Today I observed three plastic grocery bags in children’s cubbies containing changes of clothes, bedding and extra diapers/pull ups. You stated you have ordered mesh bags to store the extra clothes and diapers for children and are waiting on them to be delivered. Child Care Rule 10A NCAC 09 1719 (18) requires plastic bags, toys, and toy parts small enough to be swallowed to be inaccessible to children under three years of age. Due to a violation regarding plastic bags documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the 9/7/23 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of three of the five violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. Supervision-It is imperative that caregivers supervise children at all times to ensure the safety and well-being of children. Active supervision at naptime ensures that in the event of an emergency, sleeping children can be quickly and safely evacuated from the classroom. During rest time, one teacher went into the restroom located in the hall, leaving one teacher with seven children one year of age. You stated staff know to ask for coverage if they need to be relieved. Review the supervision requirements with your staff. This is a repeat violation from the Routine Unannounced visit on 9/7/23. Please be reminded that repeat violations may demonstrate a pattern of noncompliance and may result in the issuance of administrative actions. Permit Restrictions- The purpose of child care licensing is to ensure the safety and developmental well-being of children while in out-of-home care. A provider must comply to all permit restrictions at all times. Your program has an age restriction of 0-5 years. Today I observed one child eight years of age in space #3. You stated the family is moving schools and needed care while they met with the school administrator. You stated this is a one-time situation and there are typically no school age children in care during the typical school day. If you will need to care for school age children, they will need to be cared for in building licensed for that age group. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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 1719 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/11/2023 Number Present: 32 Completed Date: 9/11/2023 Age: From 0 To 8 Total Minutes: 194 Time In: 10:31 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my 9/7/23 Routine Unannounced visit. Upon arrival four of the five groups of children were engaged in indoor free play with blocks, books, and dramatic play materials. Teachers sat near the children, engaged in conversations with the children and assisting them with their activities. Children enrolled in space #6 engaged in outdoor free play including the climbing structure, balls, and ride on toys. The teacher moved about the space monitoring their play and talking with the children. The following violations documented during the 9/7/23 visit were monitored for compliance during this visit 303-Children were not adequately supervised at all times. One child was unattended in space #6. This is a violation of a requirement in .1801(a)(1-5). Today I observed enough staff in each classroom, staff actively supervised children and positioned themselves to see and hear all children in their care. 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. Five Ziplock and grocery bags were observed in space #6. This is a violation of a requirement in .0604(q). Today I observed three plastic grocery bags in children’s cubbies in space #6. You removed them during the visit. 1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff employed on 7/24/23 had Emergency Information form on file dated 8/24/23, therefore it was not on file on or before the first day of work. This is a violation of a requirement in .0701(a). This violation is pending provider’s response. 1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 5/15/23 did not have documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. This is a violation of a requirement in .0608(d)(1-4). Today I reviewed select staff files and found the documentation of the review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy to be recorded and filed as required. 9995-A violation was found for which there is no item number. A ProAir, HFA inhaler was stored in a cubby below five feet in space #6. This is a violation of sanitation rule 15A NCAC 18A .2820(d). Today I observed all emergency inhalers to be stored above five feet in all monitored areas. The following violations were documented today and included one repeated violations as reflected in the violation customization. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. A child 8 years of age was being cared for in space #3, therefore not meeting the permitted age restriction. GS 110-91; GS 110-106 858 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. Three plastic bags storing children's clothing and diapers/pullups were stored in open cubbies below five feet in space #6. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. One staff member was present with seven children, one year of age. 10A NCAC 09 .2818 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 9/25/23, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: On 9/7/23, a safe indoor environment violation in relation to plastic bags was observed and documented. Today I observed three plastic grocery bags in children’s cubbies containing changes of clothes, bedding and extra diapers/pull ups. You stated you have ordered mesh bags to store the extra clothes and diapers for children and are waiting on them to be delivered. Child Care Rule 10A NCAC 09 1719 (18) requires plastic bags, toys, and toy parts small enough to be swallowed to be inaccessible to children under three years of age. Due to a violation regarding plastic bags documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the 9/7/23 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of three of the five violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. Supervision-It is imperative that caregivers supervise children at all times to ensure the safety and well-being of children. Active supervision at naptime ensures that in the event of an emergency, sleeping children can be quickly and safely evacuated from the classroom. During rest time, one teacher went into the restroom located in the hall, leaving one teacher with seven children one year of age. You stated staff know to ask for coverage if they need to be relieved. Review the supervision requirements with your staff. This is a repeat violation from the Routine Unannounced visit on 9/7/23. Please be reminded that repeat violations may demonstrate a pattern of noncompliance and may result in the issuance of administrative actions. Permit Restrictions- The purpose of child care licensing is to ensure the safety and developmental well-being of children while in out-of-home care. A provider must comply to all permit restrictions at all times. Your program has an age restriction of 0-5 years. Today I observed one child eight years of age in space #3. You stated the family is moving schools and needed care while they met with the school administrator. You stated this is a one-time situation and there are typically no school age children in care during the typical school day. If you will need to care for school age children, they will need to be cared for in building licensed for that age group. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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

GS 110-106 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/11/2023 Number Present: 32 Completed Date: 9/11/2023 Age: From 0 To 8 Total Minutes: 194 Time In: 10:31 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my 9/7/23 Routine Unannounced visit. Upon arrival four of the five groups of children were engaged in indoor free play with blocks, books, and dramatic play materials. Teachers sat near the children, engaged in conversations with the children and assisting them with their activities. Children enrolled in space #6 engaged in outdoor free play including the climbing structure, balls, and ride on toys. The teacher moved about the space monitoring their play and talking with the children. The following violations documented during the 9/7/23 visit were monitored for compliance during this visit 303-Children were not adequately supervised at all times. One child was unattended in space #6. This is a violation of a requirement in .1801(a)(1-5). Today I observed enough staff in each classroom, staff actively supervised children and positioned themselves to see and hear all children in their care. 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. Five Ziplock and grocery bags were observed in space #6. This is a violation of a requirement in .0604(q). Today I observed three plastic grocery bags in children’s cubbies in space #6. You removed them during the visit. 1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff employed on 7/24/23 had Emergency Information form on file dated 8/24/23, therefore it was not on file on or before the first day of work. This is a violation of a requirement in .0701(a). This violation is pending provider’s response. 1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 5/15/23 did not have documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. This is a violation of a requirement in .0608(d)(1-4). Today I reviewed select staff files and found the documentation of the review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy to be recorded and filed as required. 9995-A violation was found for which there is no item number. A ProAir, HFA inhaler was stored in a cubby below five feet in space #6. This is a violation of sanitation rule 15A NCAC 18A .2820(d). Today I observed all emergency inhalers to be stored above five feet in all monitored areas. The following violations were documented today and included one repeated violations as reflected in the violation customization. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. A child 8 years of age was being cared for in space #3, therefore not meeting the permitted age restriction. GS 110-91; GS 110-106 858 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. Three plastic bags storing children's clothing and diapers/pullups were stored in open cubbies below five feet in space #6. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. One staff member was present with seven children, one year of age. 10A NCAC 09 .2818 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 9/25/23, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: On 9/7/23, a safe indoor environment violation in relation to plastic bags was observed and documented. Today I observed three plastic grocery bags in children’s cubbies containing changes of clothes, bedding and extra diapers/pull ups. You stated you have ordered mesh bags to store the extra clothes and diapers for children and are waiting on them to be delivered. Child Care Rule 10A NCAC 09 1719 (18) requires plastic bags, toys, and toy parts small enough to be swallowed to be inaccessible to children under three years of age. Due to a violation regarding plastic bags documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the 9/7/23 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of three of the five violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. Supervision-It is imperative that caregivers supervise children at all times to ensure the safety and well-being of children. Active supervision at naptime ensures that in the event of an emergency, sleeping children can be quickly and safely evacuated from the classroom. During rest time, one teacher went into the restroom located in the hall, leaving one teacher with seven children one year of age. You stated staff know to ask for coverage if they need to be relieved. Review the supervision requirements with your staff. This is a repeat violation from the Routine Unannounced visit on 9/7/23. Please be reminded that repeat violations may demonstrate a pattern of noncompliance and may result in the issuance of administrative actions. Permit Restrictions- The purpose of child care licensing is to ensure the safety and developmental well-being of children while in out-of-home care. A provider must comply to all permit restrictions at all times. Your program has an age restriction of 0-5 years. Today I observed one child eight years of age in space #3. You stated the family is moving schools and needed care while they met with the school administrator. You stated this is a one-time situation and there are typically no school age children in care during the typical school day. If you will need to care for school age children, they will need to be cared for in building licensed for that age group. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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

GS 110-91 · Violation

Name of Operation: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/11/2023 Number Present: 32 Completed Date: 9/11/2023 Age: From 0 To 8 Total Minutes: 194 Time In: 10:31 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my 9/7/23 Routine Unannounced visit. Upon arrival four of the five groups of children were engaged in indoor free play with blocks, books, and dramatic play materials. Teachers sat near the children, engaged in conversations with the children and assisting them with their activities. Children enrolled in space #6 engaged in outdoor free play including the climbing structure, balls, and ride on toys. The teacher moved about the space monitoring their play and talking with the children. The following violations documented during the 9/7/23 visit were monitored for compliance during this visit 303-Children were not adequately supervised at all times. One child was unattended in space #6. This is a violation of a requirement in .1801(a)(1-5). Today I observed enough staff in each classroom, staff actively supervised children and positioned themselves to see and hear all children in their care. 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. Five Ziplock and grocery bags were observed in space #6. This is a violation of a requirement in .0604(q). Today I observed three plastic grocery bags in children’s cubbies in space #6. You removed them during the visit. 1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff employed on 7/24/23 had Emergency Information form on file dated 8/24/23, therefore it was not on file on or before the first day of work. This is a violation of a requirement in .0701(a). This violation is pending provider’s response. 1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 5/15/23 did not have documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. This is a violation of a requirement in .0608(d)(1-4). Today I reviewed select staff files and found the documentation of the review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy to be recorded and filed as required. 9995-A violation was found for which there is no item number. A ProAir, HFA inhaler was stored in a cubby below five feet in space #6. This is a violation of sanitation rule 15A NCAC 18A .2820(d). Today I observed all emergency inhalers to be stored above five feet in all monitored areas. The following violations were documented today and included one repeated violations as reflected in the violation customization. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. A child 8 years of age was being cared for in space #3, therefore not meeting the permitted age restriction. GS 110-91; GS 110-106 858 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. Three plastic bags storing children's clothing and diapers/pullups were stored in open cubbies below five feet in space #6. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. One staff member was present with seven children, one year of age. 10A NCAC 09 .2818 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 9/25/23, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: On 9/7/23, a safe indoor environment violation in relation to plastic bags was observed and documented. Today I observed three plastic grocery bags in children’s cubbies containing changes of clothes, bedding and extra diapers/pull ups. You stated you have ordered mesh bags to store the extra clothes and diapers for children and are waiting on them to be delivered. Child Care Rule 10A NCAC 09 1719 (18) requires plastic bags, toys, and toy parts small enough to be swallowed to be inaccessible to children under three years of age. Due to a violation regarding plastic bags documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the 9/7/23 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of three of the five violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. Supervision-It is imperative that caregivers supervise children at all times to ensure the safety and well-being of children. Active supervision at naptime ensures that in the event of an emergency, sleeping children can be quickly and safely evacuated from the classroom. During rest time, one teacher went into the restroom located in the hall, leaving one teacher with seven children one year of age. You stated staff know to ask for coverage if they need to be relieved. Review the supervision requirements with your staff. This is a repeat violation from the Routine Unannounced visit on 9/7/23. Please be reminded that repeat violations may demonstrate a pattern of noncompliance and may result in the issuance of administrative actions. Permit Restrictions- The purpose of child care licensing is to ensure the safety and developmental well-being of children while in out-of-home care. A provider must comply to all permit restrictions at all times. Your program has an age restriction of 0-5 years. Today I observed one child eight years of age in space #3. You stated the family is moving schools and needed care while they met with the school administrator. You stated this is a one-time situation and there are typically no school age children in care during the typical school day. If you will need to care for school age children, they will need to be cared for in building licensed for that age group. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/11/2023 Number Present: 32 Completed Date: 9/11/2023 Age: From 0 To 8 Total Minutes: 194 Time In: 10:31 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my 9/7/23 Routine Unannounced visit. Upon arrival four of the five groups of children were engaged in indoor free play with blocks, books, and dramatic play materials. Teachers sat near the children, engaged in conversations with the children and assisting them with their activities. Children enrolled in space #6 engaged in outdoor free play including the climbing structure, balls, and ride on toys. The teacher moved about the space monitoring their play and talking with the children. The following violations documented during the 9/7/23 visit were monitored for compliance during this visit 303-Children were not adequately supervised at all times. One child was unattended in space #6. This is a violation of a requirement in .1801(a)(1-5). Today I observed enough staff in each classroom, staff actively supervised children and positioned themselves to see and hear all children in their care. 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. Five Ziplock and grocery bags were observed in space #6. This is a violation of a requirement in .0604(q). Today I observed three plastic grocery bags in children’s cubbies in space #6. You removed them during the visit. 1035-Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff employed on 7/24/23 had Emergency Information form on file dated 8/24/23, therefore it was not on file on or before the first day of work. This is a violation of a requirement in .0701(a). This violation is pending provider’s response. 1874-The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 5/15/23 did not have documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. This is a violation of a requirement in .0608(d)(1-4). Today I reviewed select staff files and found the documentation of the review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy to be recorded and filed as required. 9995-A violation was found for which there is no item number. A ProAir, HFA inhaler was stored in a cubby below five feet in space #6. This is a violation of sanitation rule 15A NCAC 18A .2820(d). Today I observed all emergency inhalers to be stored above five feet in all monitored areas. The following violations were documented today and included one repeated violations as reflected in the violation customization. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. A child 8 years of age was being cared for in space #3, therefore not meeting the permitted age restriction. GS 110-91; GS 110-106 858 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. Three plastic bags storing children's clothing and diapers/pullups were stored in open cubbies below five feet in space #6. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. One staff member was present with seven children, one year of age. 10A NCAC 09 .2818 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 9/25/23, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: On 9/7/23, a safe indoor environment violation in relation to plastic bags was observed and documented. Today I observed three plastic grocery bags in children’s cubbies containing changes of clothes, bedding and extra diapers/pull ups. You stated you have ordered mesh bags to store the extra clothes and diapers for children and are waiting on them to be delivered. Child Care Rule 10A NCAC 09 1719 (18) requires plastic bags, toys, and toy parts small enough to be swallowed to be inaccessible to children under three years of age. Due to a violation regarding plastic bags documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the 9/7/23 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of three of the five violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. Supervision-It is imperative that caregivers supervise children at all times to ensure the safety and well-being of children. Active supervision at naptime ensures that in the event of an emergency, sleeping children can be quickly and safely evacuated from the classroom. During rest time, one teacher went into the restroom located in the hall, leaving one teacher with seven children one year of age. You stated staff know to ask for coverage if they need to be relieved. Review the supervision requirements with your staff. This is a repeat violation from the Routine Unannounced visit on 9/7/23. Please be reminded that repeat violations may demonstrate a pattern of noncompliance and may result in the issuance of administrative actions. Permit Restrictions- The purpose of child care licensing is to ensure the safety and developmental well-being of children while in out-of-home care. A provider must comply to all permit restrictions at all times. Your program has an age restriction of 0-5 years. Today I observed one child eight years of age in space #3. You stated the family is moving schools and needed care while they met with the school administrator. You stated this is a one-time situation and there are typically no school age children in care during the typical school day. If you will need to care for school age children, they will need to be cared for in building licensed for that age group. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: KIDS-R-US 3 PRESCHOOL & CHILDCARE CENTER, LLC Facility ID: 74000912 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 30 Completed Date: 9/7/2023 Age: From 0 To 4 Total Minutes: 216 Time In: 09:32 AM Time Out: 12:45 PM Time In: 04:07 PM Time Out: 04:30 PM 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. W. Michell, owner, assisted me with today’s visit. Your program currently operates with a three-star license, issued 12/14/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 9/6/23. The NC Secretary of State website was reviewed on 9/7/23 and Kids R Us Preschool and Childcare Center, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. A Preservice for Administrator form was received and keyed. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and feeding. Sleep checks were completed, recorded, and maintained as required. Files for new staff were reviewed. The following violations were observed. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child was unattended in space #6 .1801(a)(1-5) 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. Five Ziplock and grocery bags were observed in space #6. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff employed on 7/24/23 had Emergency Information form on file dated 8/24/23, therefore it was not on file on or before the first day of work. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 5/15/23 did not have documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 9995 A violation was found for which there is no item number. A ProAir, HFA inhaler was stored in a cubby below five feet in space #6. This is a violation of sanitation rule 15A NCAC 18A .2820(d). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to 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 9/21/23, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Supervision- Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Today I observed a child enter the empty classroom, space #6, while the teacher and other children remained outside. You reported that door was to remain locked from the outside that the teacher must have unlocked it when going to the playground. You counseled the staff about transition protocols and supervision. Active supervision requires focused attention and intentional observation of children at all times. Teachers must position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Medication Storage- Designated emergency medications shall be stored out of reach of children at least five feet high but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol. A ProAir, HFA inhaler was stored in a cubby, below 5 feet, in space #6. Today we discussed ensuring that these medications are stored above 5 feet and kept on a caregiver when on the playground or stored five feet off the ground and out of reach of children. 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 should be made inaccessible to children less than three years of age. Today I observed six Ziplock and grocery bags in children’s cubbies. You stated you where not aware that you could not use the Ziplock bags and would create a different way for teachers to store soiled and spare clothes. Prevention of Shaken Baby Syndrome & Abusive Head Trauma Policy- Each child care center licensed to care for children up to five years of age must develop and adopt policies to prevent shaken baby syndrome and abusive head trauma. The policy must be reviewed with all staff prior to them providing care to the children. Documentation of this review was not on file for the staff employed on 5/15/23. You reported the policy had been reviewed, but the signature page was not filed correctly. Please review the policy with the staff again and file copy of documentation in the staff’s personnel file. Staff Emergency information- The Emergency Information form must be completed for all staff by day one of hire and updated as changes occur or at least annually. Staff employed on 7/24/23 had an Emergency Information form dated 8/24/23. We discussed having this document completed prior to hire on upon arrival for the first day of employment to ensure it is received and filed. Consultation: Staff Orientation- Staff orientation is a way for new employees to get to know the policies, procedures, and protocols of the new employer. We discussed planning and scheduling each orientation session with detail and purpose. Upon completion of each session, document the training on the orientation log, including the date, hours spent on the topic and the signature of the trainer. A copy of the Documentation of Staff Orientation form can be found on the DCDEE website under the Provider Documents and Forms tab. File Checklist- We discussed the importance of accurate record keeping. We reviewed your current files, checklists, and tracking tools. I shared with you the updated checklist for staff and substitute files. Staff File Checklist, Substitute Staff File Checklist, Children’s File Checklist, Program Records Checklist, and Ready to Go File Checklists were shared with you during the visit. Tracking Tools- Developing a system to assist you with upcoming deadlines for forms, records, and inspections will be most beneficial during your day-to-day operations. We discussed various types of tracking tools such as calendars, digital alarms, and computer systems. It is most important to create a system that works best for you and your operation style. Today you shared your current tracking systems and how they are working. We talked through the pros and cons of your current system and ways to improved them. Staff and Training worksheet- The Staff and Training Worksheet is used to document the center's compliance with requirements for preservice staff qualifications, staff records, orientation, and annual training. This is a live document and should be updated annually and as changes occur. We reviewed the Staff and Training Worksheet, how it is currently being used, and tracking benefits. On-Going Training- Staff training begins at employment with New Staff Orientation and continues with specified trainings during the first year and on-going training after that. Each center shall have a record of training activities in which each staff member participates, including copies of training certificates or official documentation provided by the trainer. At the beginning of each fiscal year begin tracking in-service training hours for each teacher. For each staff member determine how many training hours are needed based on their education and set goals for each individual. Staff should understand from the beginning of their employment the number of on-going training hours they are required to complete and the timeframe to accomplish them. Staff should never wait until the last minute to begin completing their training hours. Today we reviewed creating a staff WORKS account and submitting transcripts to determine education for staff and reviewed the required training hours based on qualifications. We reviewed the On-Going Training Log and Health and Safety Training Record form located under the provider documents on the Division's website. Additional information: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. 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, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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.