Facility Name: IMAGE CHILD CARE roe: County: Forsym Intake Consultant: A. Parker Date Received: 11}! 161'2013 Division of Child Development and Early Education eat; em minnow Intake Form Date Revised: mourn IuFonmnou Facility Name: EARLY IMAGE CHILD . CARE CENTER rm" 34mm mm? Address: NEW WINSTON-SALEH, NC 21105 Telephm: (335} 721?1252 SEC: EYES El ND Facill :Center HCPre-Kuj?res END A5516 NHENT 2 In? Consultant Vacant earn Supervisor: Lela Cross Consultant: Natosria LambetJ-i Investigation: Supervisor: Tiffany Graves [155 swiTelephone: 5W Supervisori'Teiephone: ADDITIONAL AGENCY INVOLVEMENT D55: Law Enforcement: 8 D55 Referral: 1mr 1632013 AQEHCYFEIEIJWE [3 DCDEE sent to DSS on: - . Medical: noose received oss su?eening decision on: innerzoie thsidaanadliW?ele?hWI Go: Other: Resource and Referral: EH5 Namei'Telephme: Food Programfl?elephone: NC Pre-K Contactor: Child Care Health Corisultanthelephone: ALLEGATIDH SUM MA RV Children in care are allegedly being inappropriater disciplined and ?beaten? by the providers. Children have sustained bruising.