Childrens Lighthouse OF Green Level Apex

10A NCAC 09 .0901 · Violation

Name of Operation: CHILDRENS LIGHTHOUSE OF GREEN LEVEL APEX Facility ID: 92003926 Consultant: CORRINE FULP Operation Type: Center Case Number: 0525-014L Visit Date: 5/7/2025 Number Present: 116 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM 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 monitor concerns regarding non-compliance child care requirements. Upon arrival, I was greeted by the center director. We discussed the nature of the visit, and we conducted a general walk-through of the facility. OBSERVATIONS: During the walk through I observed a menu posted in the lobby area and in the kitchen. The center uses a repeated monthly menu; within the monthly cycle of April/May there were no daily meals repeated. The center uses a tablet to record a child’s daily intake. I asked to see the intake for the date related to the concerns. I confirmed that based on the documentation viewed not eggs were served. I observed allergy list posted in all classroom and kitchen. I reviewed the action plan and medication related to the reported concerned and found all in compliance with child care requirements. During the walk through all classrooms were meeting staff child ratio with two or more teachers in each classroom and floaters assisting in classrooms with potty trainers. RESOLUTION: Based on interviews and observations made during the investigation, I was unable to determine whether any violations related to ratios, and meal plan not followed according to what was reported had occurred, therefore those allegations were unsubstantiated. The violation related to the reporter’s concerns was noted regarding beans in the sensory table. It was confirmed by staff members that this has been used in the past therefore this allegation is substantiated. A violation unrelated to the reporter's concerns was documented; changes made in meal plan were not posted today. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Breakfast menu changes were not posted. 10A NCAC 09 .0901(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Small dried beans were used in the sensory table of young two's. .0604(q) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you will correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. If I do not receive your letter by 5/21/25, and/or if you do not address all violations, I will be making a return visit to your program to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Your compliance letter should be sent to me at the following email address: corrine.fulp@dhhs.nc.gov., or mailed to 1781 Indian Camp Road Clayton, NC 27520. TECHNICAL ASSISTANCE Breakfast consisted of French toast sticks, mixed fruit, and milk. The menu posted in the lobby was not consistent with what was served. Substitutions to the menu should be noted on the posted menu, prior to serving the meal. Helpful ideals for meals can be found on CACFP guidelines for meal and snack patterns at www.fns.usda.gov/cacfp/meals-and-snacks. Sand and water are sensory materials that people of all ages can enjoy. Sand and water play are not required for children under 18 months of age. Sensory play offers older toddlers’ opportunities to use their senses to discover the natural world. Because toddlers are constantly gathering information through their senses and trying to understand how the world works, sensory experiences with sand and water play is and important role in their cognitive development. When using best practices dried beans are not an appropriate substitute for sand because of health and safety issues. A toddler may put beans in the nose or ear, where they can easily get stuck. Some uncooked, dried beans are toxic when eaten and present a choking hazard as well. During sensory play staff should always be within easy reach of a toddler/two-year-old and adequately supervise to make sure the children do not drink or fall into water or to prevent them from eating the sand. CONSULTATION Substantiation of the alleged reports may result in an administrative action being taken against the center. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CHILDRENS LIGHTHOUSE OF GREEN LEVEL APEX Facility ID: 92003926 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 114 Completed Date: 10/23/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Lauren Maglio, director assisted me with the visit. At the completion of the visit, this summary was printed, reviewed, and a copy left with you. LICENSE STATUS: The program currently operates with a 3 Star License, issued on 1/10/24. The program received 4 points in staff education, 3 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. We conducted a walk-through of the indoor and outdoor learning environments I observed diapering changes and handwashing and children engaging in free play in their classroom and outdoors. Lunch consist of Turkey hotdog, buns, peaches, tossed salad, and milk. INSPECTION/SAFTEY DRILL STATUS: The last sanitation inspection was conducted on 9/3/24. The last fire inspection was conducted on 4/3/24. The last outdoor play area inspection was conducted on 9/30/24. The last fire drill was conducted on 9/30/24. The last shelter-in-place/lockdown was conducted on 9/27/24. The EPR plan was updated on 9/13/24. The last annual compliance visit was conducted on 5/2/24. According to the NC Secretary of State web site, the status of AN ENTERPRISES LLC is “current-active”. ITEMS MONITORED: A partial monitoring of applicable child care requirements was conducted, monitoring Supervision, Staff Child Ratio, CPR/First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, and Permit Restrictions. The log binder was checked for gate monitoring today. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. No activity plan were posted in space #2. GS 110-91(12); .0508(a) 504 Perishable foods were not stored to protect against spoilage. The refrigerator in space #2 did not have a thermometer. 15A NCAC 18A .2806 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three bottles in space #1 was dated 9/18/24. 15A NCAC 18A .2804(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An authorization form in space #1 expired on 10/22/24. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members hired on 9/1/23 and 7/17/24 did not have documentation on file for completing first aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff members hired on 9/1/23 and 7/17/24 did not have documentation on file for completing CPR training. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Six new staff members did not have documentation for completing orientation within the first six weeks. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days. .1102(g) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. If I do not receive your letter by 11/5/24, and/or if you do not address all violations, I will be making a return visit to your program to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Your compliance letter should be sent to me at the following email address: corrine.fulp@dhhs.nc.gov., or mailed to 1781 Indian Camp Road Clayton, NC 27520. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 92%. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE In space #2 the refrigerator did not have a thermometer therefore an accurate reading of the infant formula could not be determined. A thermometer from the two classroom that was not needed was placed in the refrigerator. The refrigerator reading was read at 20 degrees. It would be best practices to place a thermometer in the two's refrigerator just in case a teacher decides to store personal items there. Within the first two weeks of employment new staff should have six clock hours of training in the required topic areas. The orientation form can be found on the Division of Child Development and Early Education website. REMINDER Several new staff will need CPR/FA by November 2024 and December 2024. CONSULTATION AND RESOURCES HEALTH AND SAFETY Training in all the required health and safety topics must be completed at least every 5 years. The Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Staff should use their individual NCID username and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. This training is available at www.preventchildabusenc.org. Hold Harmless have been extended and star rated license assessments for licensed child care providers. Rated license assessments will be conducted by provider request only, until the QRIS rulemaking process has been completed. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. 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: CHILDRENS LIGHTHOUSE OF GREEN LEVEL APEX Facility ID: 92003926 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 114 Completed Date: 5/20/2024 Age: From 0 To 5 Total Minutes: 420 Time In: 09:00 AM Time Out: 04:00 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 children care requirements for an annual compliance visit. Upon arrival, I was greeted by Lauren Maglio, and she accompanied me throughout the visit. The program currently operates with a 3 Star License, issued on 1/10/24. The program received 4 points in staff education, 3 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTIONS: The last sanitation inspection was completed on: 7/13/23. The last fire inspection was completed on 4/3/24. The last outdoor play area inspection was completed on 4/30/24. The last fire drill was conducted on 4/30/24. The last lockdown/shelter-in-place drill was completed on 3/28/24. The EPR plan was updated on 9/28/23. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, ITSIDS certificates, activity plans and supervision. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 97%. According to NC General Statute 110-90(4)(d) all child care facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Any violations documented during visits to your program may have an impact on the total compliance history score and cause your score to drop below the mandated level. Should this occur, your center may be at risk of an Administrative Action that could change the status of your license. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, AN ENTERPRISES LLC, was current/active. A general walkthrough of the facility indoor and outdoor spaces. The children were observed participating in group time activities, personal routine care, and outdoor play. The caregivers were interacting with the children, meeting their developmental needs. ANNUAL COMPLIANCE RECORDS In-service training requirements were monitored from May 30, 2023- May 30, 2024. The staff training worksheet was received prior to today’s visit. Training hours were monitored for staff members that were hired within one year. All additional staff: twenty-seven [27] are expected to complete their yearly hours according to the hire date. All staff that have only a HS diploma or its equivalent must complete 20 clock hours of training in child development with the first 6 months of employment. This is in addition to annual in-service training hours required for the year. The director’s signature attests that staff files not monitored today contain all the required information. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An air freshener was stored less than five [5] feet from the floor. .2820(b) 847 Parent's medication authorization did not include required information. In space #2 and #3 six [6] children authorization form did not include the following information; amount to, when, and how to apply. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members annual health questionnaire was not renewed. .0701(a) 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. Two staff members did not renew their annual emergency information. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not complete First Aid within ninety [90] days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff members did not complete CPR within ninety [90] days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff members did not meet their annual required training hours. .1103(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Fifteen children files did not have a hospital preference listed. .0802 (c)(4) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due by no later than 5/16/24 and should be emailed to: corrine.fulp@dhhs.nc.gov. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE Staff on-going training hours: All staff members must participate in the annual Staff Development Training. The amount of required training will be based on the individual employee’s education, number of hours worked per/week and years of child care experience. The training year for your center will be from May 2023 through May 2024 this year. Best practice would be to have staff complete at least two [2] training hours a month if they are required to complete twenty [20] hours yearly. For staff that are required to complete ten [10] hours yearly, they can complete one [1] hour monthly. REMINDERS: There are twelve staff members on your staff training worksheet who need CPR/FA; dated within 90 days or renewal dates. CONSULTATION MEDICATION A good suggestion to prevent future violation would be to assign a staff member to do a weekly safety check for all classrooms with medication. Check that the name of the medication on the permission form to see if it is the same as the name of the medication on the container. Check the name, dates, times, dose, and route on the medication container to see if it matches the dates, times, dose, and route permission form. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CHILDRENS LIGHTHOUSE OF GREEN LEVEL APEX Facility ID: 92003926 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 0723-062A Visit Date: 7/18/2023 Number Present: 64 Completed Date: 7/18/2023 Age: From 0 To 5 Total Minutes: 190 Time In: 10:05 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Anil Singh, Owner, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Mr. Singh, Lauren Maglio, Director, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. A staff member repeatedly failed to wash their hands in between diaper changes. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. A staff member repeatedly failed to wash one-year-old children's hands after diaper changes. 15A NCAC 18A .2803(c)(2) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. A staff member failed to clean diaper changing station after changing a child's diaper. 15A NCAC 18A .2819(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member forcefully placed a sippy cup on a table in front of a one-year-old child. A staff member admitted to tapping a one-year-child on the hand to correct the child's behavior. G.S. 110-91(10) 904 Child was handled roughly. A staff member pushed a chair a one-year-old child was seated in. A staff member pushed a one-year-old child to prevent the child from touching a table covered in cleaning solution. .1803(a)(1) You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times