10A NCAC 09 .0509 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0825-230L Visit Date: 8/25/2025 Number Present: 101 Completed Date: 8/25/2025 Age: From 0 To 5 Total Minutes: 245 Time In: 12:33 PM Time Out: 04:38 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s complaint visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Lovelace assisted me today. Limited monitoring of Child Care Rules were conducted including but not limited to sanitation and health, nutrition, infant care, safe environment, staff/child ratios. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The facility operates with a GS110-106 issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 8/20/25 and sent to me on the same day. There are concerns regarding sanitation and health, nutrition, infant care, safe environment, learning environment, program record, Emergency Medical Care Plan, and staff/child ratios. Summary of information obtained by the Division pertains to categorized concerns are follows: Sanitation and Health: • On January 7, 2025, a staff member was permitted to bring a child who had a fever of 101 degrees at 2:30 pm (on the previous day). • On March 26 and 27, 2025, children played outside for extended periods during air quality index being purple. • On June 16, 2025, a staff member who suspected of contracting Chickenpox was allowed to work. • Children with spots due to Hand-Foot-Mouth disease were allowed to return to school on August 2, 2025. • High Chair trays are not properly cleaned. Nutrition: • On June 24, 2025, a child’s feeding plan was denied. • On July 19, 2025, a child was not provided with drinking water for extended period of time while being outside for a child who was fourteen (14) months old at the time. • ON August 14, 2025, a child was not offered drinking water in space #417. • Spoiled or expired food are served at the school. • Substitution items are not recorded on the menu. Safe Environment: • Staff members cover infants’ faces to make them sleep fast in space #421. • On July 29, 2025, a child, who was fourteen (14) months of age, had acorn and mulch in the mouth on the playground. Learning Environment: • On August 11, 2025, an infant, who was two (2) months of age, at the time was placed in the Bye-Bye Buggy to go for walk. Program records: • Attendance records, meals, name-to-face logs are not consistently posted in Brightwheel. Emergency Medical Care Plan: • On August 6, 2025, calling 911 was delayed for a child who had hives and labored breathing. Staff/Child ratios: • Classrooms are frequently combined and out of ratios. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were monitored for staff/child ratios and other permit restrictions and naptime. Children with fever over 101 degrees: Per interview with Ms. Lovelace, a child was sent home at 11:00 am on January 7, 2025, with an underarm temperature of 99.3 degrees. When the parent took the child to the doctor, the temperature under tongue was 100.3 degrees at 2:30 pm. Therefore, the child was not excluded from the school. A hard copy of the program policy that includes sickness policy is shared with parents upon enrollment. The policy was reviewed during the visit, and it contains a policy for fever and other symptoms and communicable disease policy. Air Quality: Per Air Quality Index (AQI) for March 26, it was 46 in Asheville, NC. It was the green zone. On March 27, 2025, the AQI was 93, which was in the dark yellow zone, which was in moderate health concerns. The advisement describes to limiting prolonged or heavy exertion outdoors. The information was obtained from Air Quality Forecasts from www.deq.nc.gov. Particle pollution from fine particulates (PM2.5) level on March 27, 2025, was 18 on March 27, 2025, and was in the yellow zone. Rule 15A NCAC 18A .2832 OUTDOOR LEARNING ENVIRONMENT AND PREMISES limits the outdoor time for code orange, red and purple. Based on the findings of air quality in Asheville for March 26 and March 27, 2025, it is concluded that the program followed guidelines appropriately. Data on Arden, NC was not available. Communicable Disease: Ms. Lovelace was interviewed for a case of Chickenpox. Per Ms. Lovelace, one (1) staff member notified her about potential Chickenpox on July 16, 2025. She guided the staff member to obtain a doctor’s note to be excused from work. The note was provided by the staff member on the 18th. The staff member did not work on the 16th or 17th. Two (2) children were sent home for rash that week prior to the 16th, but they were not diagnosed with Chickenpox. No children in the classroom were diagnosed with the disease. I also interviewed Ms. Lovelace of Hand-Foot-Mouth Disease. One (1) child who was diagnosed with Hand-Foot-Mouth was excluded around August 2, 2025. The instructions provided to the parents by the program were not to return to school if the rash was not blistered or oozing. The program and the parent exchanged text messages and photos to make sure that the child was in an adequate condition to return to school. Per communicable disease guideline provided by North Carolina Child Care Health and Safety Resource Center, no exclusion is required for Hand Foot Mouth Disease. The common understanding is that the people who had the disease are contagious before the rash appears. However, proper sanitization and disinfection of classrooms and other spaces are important to contain the spread of Hand Foot Mouth Disease. Feeding plans: Per my call log, Ms. Lovelace and I had a conversation regarding a child’s feeding plan. Per Ms. Lovelace, a parent submitted a doctor’s note on a child on June 24, 2025. At the time of the request to change the child’s feeding, feeding plan was not yet submitted. Ms. Lovelace requested a feeding plan to be filled out by a physician, and the parent submitted it on June 25, 2025. Per feeding plan, the food needed to be pureed and/or mashed. If the food is not consumed by the child, 4 oz of formula had to be provided to the child as supplemental food. Drinking water: During observation, all classrooms have a small black cart outside of the classroom. For the older children, thermos brought from home were on the cart. In space #421, some bottles with water were maintained in the cooler on the cart. No water bottles or sippy cups with water were on the cart for space #420 and #422. Per interview with classroom staff members, infants typically go for a walk for up to thirty (30) minutes at a time. The infants rarely or never go to the playground. Water bottles are typically provided by the parents if they want their child’s drink water. Another classroom staff stated that there is two (2) school sippy cups in the classroom in case parents forget to bring the cups. The amount of water consumed by each child is not recorded on Brightwheels. One staff member stated that he/she communicates with parents if children consume all water in their cup. Spoiled food: I monitored items in refrigerator. Refrigerator temperature was thirty-six (36) degrees. There were multiple kinds of special milk on the cart. Small cartons of regular milk and left over food were maintained on the racks. None of the milk was expired. Left over food was in a plastic container with a date. Per sanitation inspection conducted on 12/9/24, 12/14/23, 11/6/23, spoiled food had never been cited as a violation. On inspection conducted on 12/14/23, it was noted that the bottles were left on the counter in room #421. The staff member must complete the feeding within 1 hour, and the bottle must be removed when children engage in different activities per 15A NCAC 18 .2804(h). During today’s observation, most bottles were maintained in the classroom refrigerator with names and dates. In space #422, a bottle was in a bottle warmer. Substitution items: I reviewed the posted menu. The menu was posted on the bulletin board in the lobby. Per correction on the menu, lunch on the 12th and the 15th were swapped. Ritz crackers, string cheese and water were on the menu for snacks. I observed snacks in space #420, # 422, #420, #421, #418 and #417. A child in space #421 had Cheese It crackers, shredded sting cheese and water for snacks on the high chair. Three (3) children had snacks brought from home and all the other children had Ritz crackers, string cheese and water. High Chair trays: Staff members were interviewed for cleaning of high chair trays. Per staff members, trays are sent to the kitchen to be washed. Prior to snacks, the trays are brought back to the classroom. I observed trays being returned to the classroom during today’s visit. Safe environment: During today’s observation, no children’s faces were covered by blankets. I observed two children being rocked to sleep in space #420. The children’s faces were not covered. The playgrounds were monitored. On one (1) of younger children’s playgrounds, there is an acorn tree. The branches were over both playgrounds. Learning Environment: Ms. Lovelace was interviewed regarding the incident on August 11, 2025. Per Ms. Lovelace, on August 11, 2025, four (4) months old child at the time, was placed on the Bye-Bye-Bus. Later, she realized that the equipment was for children six (6) months of age, or older. Since the incident, all staff members were instructed to only place children over six (6) months of age, in the buggy/bus and use strollers for younger children. Program Records: A staff member was interviewed for program records maintained on Brightwheel. I requested the record for one (1) child in space #417 during the visit. The record was a picture of each meal, including breakfast, lunch and snack, and a picture of children on a Bye-Bye-Buggy and a picture of child sleeping on the cot. Although it is best practice to log transitions and meals, it is not required by child care rules. It is recommended to work with parents to agree on the details of documentation for meals. Attendance records was sufficient during the visit. Emergency Medical Care Plan: Ms. Lovelace was interviewed for incident on August 6, 2025. A child brought out of severe skin rash/hives at 12:40 pm. The classroom staff member notified Ms. Lovelace. 911 was called at 12:45 pm, and the parent of the child was notified at 12:51 pm. The child was treated in the ambulance as well as at the hospital and returned to school when it was permitted by the physician. The child was diagnosed and not medications or action plans were required. The incident report was created but not forwarded to me within seven (7) days. A copy of the incident report was obtained during the visit. Emergency Medical Care Plan was appropriately followed. Staff/Child ratios: During today’s observation, staff/child were as follows: #420: four (4) children, all infants, were present with two (2) staff members. #421: five (5) children, all infants, were present with two (2) staff members. #422: seven (7) children, infants and one (1) year old, were present with two (2) staff members. #419: eight (8) children, all one (1) year old, were present with two (2) staff members. #418: eight (8) children, all one (1) year old, were present with two (2) staff members. #417: nine (9) children, all one (1) year old, were present with two (2) staff members. #416: seven (7) children, all two (2) years old, were present with two (2) staff members. #414: eleven (11) children, all two (2) years old, were present with two (2) staff members. #410: ten (10) children, all two (2) years old, were present with two (2) staff members. #409: twelve (12) children, all three (3) years old, were present with two (2) staff members. #408: nine (9) children, all three (3) years old, were present with two (2) staff members. #406: six (6) children, three-to-four years old were present with two (2) staff members. #404: five (5) children, all four (4) years old, were present with two (2) staff members. Based on the interview, observation and program record, the allegation of sanitation and health is unsubstantiated. Each cases of communicable disease and other illness was managed appropriately per program policy. Based on the interview and observation, the allegation of nutrition is substantiated due to potential rack of drinking water available to all children. Even though there are spare cups maintained in some of the classrooms, it is providers responsibility to make sure that all children are offered drinking water throughout the day, especially when they are outside. There was not sufficient evidence that children were offered drinking water regularly during walks on the strollers and Buggy/Bus. Following feeding plans, noting substitution items, maintenance of food in the kitchen were not considered in substantiation of nutrition requirements. A consultation was provided for one (1) child being provided with Cheese It instead of Ritz Crackers. Based on observation, the allegation of safe environment is unsubstantiated. No children’s faces were covered by blankets to help them sleep faster. Based on the interview, the allegation of learning environment is substantiated based on a child, who was four (4) months of age, were placed on the Bye-Bye-Bus on August 11, 2025. Based on the interview and observation, the allegation of Medical Care Plan is unsubstantiated. The chain command of the EMC plan was appropriately followed. Based on the observation, the allegation of staff/child ratios is unsubstantiated. No classrooms were out of ratios during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. On August 11, 2025, a child, who was four (4) months of age at the time, was placed in a Bye-Bye-Bus and taken for a walk. GS 110-91(12);10A NCAC 09 .0509(1) 505 Drinking water was not freely available to children of all ages. Per interview with staff members, drinking water for infants are not consistently offered. Staff members rely on the parents to provide drinking water for infants. .0901(e) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. The incident report for August 6, 2025, when a child was transported to a hospital by an ambulance for severe rash/hives were not submitted to the Division within seven (7) days. .0802(f) Technical assistance was provided as follows: 432: Developmentally appropriate equipment Centers must use developmentally appropriate equipment in accordance with .0509(l). As a best practice, staff should review the purpose of each piece of equipment and follow established guidelines. Using equipment that is not suitable for the age group increases the risk of injury. This item was corrected during visit. Ms. Lovelace stated that all staff members were instructed to use strollers for children under six (6) months of age, when the mistake was pointed out. 505: drinking water Drinking water must be freely available to children of all ages. Refer to .0901(e). When adults need water during outdoor time, children are likely to need it as well—if not more frequently. However, not all children can express their need for water or remember to pause for hydration during play. It is the caregiver’s responsibility to observe children’s behaviors, skin coloring, and body temperature, and to ensure they are offered and consume drinking water as needed. To comply, staff members should take water supplies for children upon going outside. Staff members must pay attention to the children. If they are sweating, cheeks are red or any other signs of them being hot, offer drinking water as needed. In the compliance letter, please state what you discussed with staff members. 1911: incident report to the Division When medical treatment is required for injuries or medical incidents that occur while children are in care, the incident report must be submitted to the Division within seven (7) days. Refer to .0802(f). The incident report of August 6, 2025, was obtained during the visit. In your compliance letter, please state how you will prevent this violation from recurring. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Substitute items: When substitute items are offered to children, the items must be recorded on the menu prior to serving the children. If a few children are offered different items, please make sure to note the substitutions in the classroom. Generic names, such as “cereal” is not recommended. Please use the names of cereals, such as Cheerios, Chex, etc. Supervision: Young children should be adequately supervised on the playground. Acorns can be choking hazard and the children on the playground should not be putting them in the mouth. Try to sweep out acorn as much as possible as well as adequately supervise young children. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0825-230L Visit Date: 8/25/2025 Number Present: 101 Completed Date: 8/25/2025 Age: From 0 To 5 Total Minutes: 245 Time In: 12:33 PM Time Out: 04:38 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s complaint visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Lovelace assisted me today. Limited monitoring of Child Care Rules were conducted including but not limited to sanitation and health, nutrition, infant care, safe environment, staff/child ratios. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The facility operates with a GS110-106 issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 8/20/25 and sent to me on the same day. There are concerns regarding sanitation and health, nutrition, infant care, safe environment, learning environment, program record, Emergency Medical Care Plan, and staff/child ratios. Summary of information obtained by the Division pertains to categorized concerns are follows: Sanitation and Health: • On January 7, 2025, a staff member was permitted to bring a child who had a fever of 101 degrees at 2:30 pm (on the previous day). • On March 26 and 27, 2025, children played outside for extended periods during air quality index being purple. • On June 16, 2025, a staff member who suspected of contracting Chickenpox was allowed to work. • Children with spots due to Hand-Foot-Mouth disease were allowed to return to school on August 2, 2025. • High Chair trays are not properly cleaned. Nutrition: • On June 24, 2025, a child’s feeding plan was denied. • On July 19, 2025, a child was not provided with drinking water for extended period of time while being outside for a child who was fourteen (14) months old at the time. • ON August 14, 2025, a child was not offered drinking water in space #417. • Spoiled or expired food are served at the school. • Substitution items are not recorded on the menu. Safe Environment: • Staff members cover infants’ faces to make them sleep fast in space #421. • On July 29, 2025, a child, who was fourteen (14) months of age, had acorn and mulch in the mouth on the playground. Learning Environment: • On August 11, 2025, an infant, who was two (2) months of age, at the time was placed in the Bye-Bye Buggy to go for walk. Program records: • Attendance records, meals, name-to-face logs are not consistently posted in Brightwheel. Emergency Medical Care Plan: • On August 6, 2025, calling 911 was delayed for a child who had hives and labored breathing. Staff/Child ratios: • Classrooms are frequently combined and out of ratios. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were monitored for staff/child ratios and other permit restrictions and naptime. Children with fever over 101 degrees: Per interview with Ms. Lovelace, a child was sent home at 11:00 am on January 7, 2025, with an underarm temperature of 99.3 degrees. When the parent took the child to the doctor, the temperature under tongue was 100.3 degrees at 2:30 pm. Therefore, the child was not excluded from the school. A hard copy of the program policy that includes sickness policy is shared with parents upon enrollment. The policy was reviewed during the visit, and it contains a policy for fever and other symptoms and communicable disease policy. Air Quality: Per Air Quality Index (AQI) for March 26, it was 46 in Asheville, NC. It was the green zone. On March 27, 2025, the AQI was 93, which was in the dark yellow zone, which was in moderate health concerns. The advisement describes to limiting prolonged or heavy exertion outdoors. The information was obtained from Air Quality Forecasts from www.deq.nc.gov. Particle pollution from fine particulates (PM2.5) level on March 27, 2025, was 18 on March 27, 2025, and was in the yellow zone. Rule 15A NCAC 18A .2832 OUTDOOR LEARNING ENVIRONMENT AND PREMISES limits the outdoor time for code orange, red and purple. Based on the findings of air quality in Asheville for March 26 and March 27, 2025, it is concluded that the program followed guidelines appropriately. Data on Arden, NC was not available. Communicable Disease: Ms. Lovelace was interviewed for a case of Chickenpox. Per Ms. Lovelace, one (1) staff member notified her about potential Chickenpox on July 16, 2025. She guided the staff member to obtain a doctor’s note to be excused from work. The note was provided by the staff member on the 18th. The staff member did not work on the 16th or 17th. Two (2) children were sent home for rash that week prior to the 16th, but they were not diagnosed with Chickenpox. No children in the classroom were diagnosed with the disease. I also interviewed Ms. Lovelace of Hand-Foot-Mouth Disease. One (1) child who was diagnosed with Hand-Foot-Mouth was excluded around August 2, 2025. The instructions provided to the parents by the program were not to return to school if the rash was not blistered or oozing. The program and the parent exchanged text messages and photos to make sure that the child was in an adequate condition to return to school. Per communicable disease guideline provided by North Carolina Child Care Health and Safety Resource Center, no exclusion is required for Hand Foot Mouth Disease. The common understanding is that the people who had the disease are contagious before the rash appears. However, proper sanitization and disinfection of classrooms and other spaces are important to contain the spread of Hand Foot Mouth Disease. Feeding plans: Per my call log, Ms. Lovelace and I had a conversation regarding a child’s feeding plan. Per Ms. Lovelace, a parent submitted a doctor’s note on a child on June 24, 2025. At the time of the request to change the child’s feeding, feeding plan was not yet submitted. Ms. Lovelace requested a feeding plan to be filled out by a physician, and the parent submitted it on June 25, 2025. Per feeding plan, the food needed to be pureed and/or mashed. If the food is not consumed by the child, 4 oz of formula had to be provided to the child as supplemental food. Drinking water: During observation, all classrooms have a small black cart outside of the classroom. For the older children, thermos brought from home were on the cart. In space #421, some bottles with water were maintained in the cooler on the cart. No water bottles or sippy cups with water were on the cart for space #420 and #422. Per interview with classroom staff members, infants typically go for a walk for up to thirty (30) minutes at a time. The infants rarely or never go to the playground. Water bottles are typically provided by the parents if they want their child’s drink water. Another classroom staff stated that there is two (2) school sippy cups in the classroom in case parents forget to bring the cups. The amount of water consumed by each child is not recorded on Brightwheels. One staff member stated that he/she communicates with parents if children consume all water in their cup. Spoiled food: I monitored items in refrigerator. Refrigerator temperature was thirty-six (36) degrees. There were multiple kinds of special milk on the cart. Small cartons of regular milk and left over food were maintained on the racks. None of the milk was expired. Left over food was in a plastic container with a date. Per sanitation inspection conducted on 12/9/24, 12/14/23, 11/6/23, spoiled food had never been cited as a violation. On inspection conducted on 12/14/23, it was noted that the bottles were left on the counter in room #421. The staff member must complete the feeding within 1 hour, and the bottle must be removed when children engage in different activities per 15A NCAC 18 .2804(h). During today’s observation, most bottles were maintained in the classroom refrigerator with names and dates. In space #422, a bottle was in a bottle warmer. Substitution items: I reviewed the posted menu. The menu was posted on the bulletin board in the lobby. Per correction on the menu, lunch on the 12th and the 15th were swapped. Ritz crackers, string cheese and water were on the menu for snacks. I observed snacks in space #420, # 422, #420, #421, #418 and #417. A child in space #421 had Cheese It crackers, shredded sting cheese and water for snacks on the high chair. Three (3) children had snacks brought from home and all the other children had Ritz crackers, string cheese and water. High Chair trays: Staff members were interviewed for cleaning of high chair trays. Per staff members, trays are sent to the kitchen to be washed. Prior to snacks, the trays are brought back to the classroom. I observed trays being returned to the classroom during today’s visit. Safe environment: During today’s observation, no children’s faces were covered by blankets. I observed two children being rocked to sleep in space #420. The children’s faces were not covered. The playgrounds were monitored. On one (1) of younger children’s playgrounds, there is an acorn tree. The branches were over both playgrounds. Learning Environment: Ms. Lovelace was interviewed regarding the incident on August 11, 2025. Per Ms. Lovelace, on August 11, 2025, four (4) months old child at the time, was placed on the Bye-Bye-Bus. Later, she realized that the equipment was for children six (6) months of age, or older. Since the incident, all staff members were instructed to only place children over six (6) months of age, in the buggy/bus and use strollers for younger children. Program Records: A staff member was interviewed for program records maintained on Brightwheel. I requested the record for one (1) child in space #417 during the visit. The record was a picture of each meal, including breakfast, lunch and snack, and a picture of children on a Bye-Bye-Buggy and a picture of child sleeping on the cot. Although it is best practice to log transitions and meals, it is not required by child care rules. It is recommended to work with parents to agree on the details of documentation for meals. Attendance records was sufficient during the visit. Emergency Medical Care Plan: Ms. Lovelace was interviewed for incident on August 6, 2025. A child brought out of severe skin rash/hives at 12:40 pm. The classroom staff member notified Ms. Lovelace. 911 was called at 12:45 pm, and the parent of the child was notified at 12:51 pm. The child was treated in the ambulance as well as at the hospital and returned to school when it was permitted by the physician. The child was diagnosed and not medications or action plans were required. The incident report was created but not forwarded to me within seven (7) days. A copy of the incident report was obtained during the visit. Emergency Medical Care Plan was appropriately followed. Staff/Child ratios: During today’s observation, staff/child were as follows: #420: four (4) children, all infants, were present with two (2) staff members. #421: five (5) children, all infants, were present with two (2) staff members. #422: seven (7) children, infants and one (1) year old, were present with two (2) staff members. #419: eight (8) children, all one (1) year old, were present with two (2) staff members. #418: eight (8) children, all one (1) year old, were present with two (2) staff members. #417: nine (9) children, all one (1) year old, were present with two (2) staff members. #416: seven (7) children, all two (2) years old, were present with two (2) staff members. #414: eleven (11) children, all two (2) years old, were present with two (2) staff members. #410: ten (10) children, all two (2) years old, were present with two (2) staff members. #409: twelve (12) children, all three (3) years old, were present with two (2) staff members. #408: nine (9) children, all three (3) years old, were present with two (2) staff members. #406: six (6) children, three-to-four years old were present with two (2) staff members. #404: five (5) children, all four (4) years old, were present with two (2) staff members. Based on the interview, observation and program record, the allegation of sanitation and health is unsubstantiated. Each cases of communicable disease and other illness was managed appropriately per program policy. Based on the interview and observation, the allegation of nutrition is substantiated due to potential rack of drinking water available to all children. Even though there are spare cups maintained in some of the classrooms, it is providers responsibility to make sure that all children are offered drinking water throughout the day, especially when they are outside. There was not sufficient evidence that children were offered drinking water regularly during walks on the strollers and Buggy/Bus. Following feeding plans, noting substitution items, maintenance of food in the kitchen were not considered in substantiation of nutrition requirements. A consultation was provided for one (1) child being provided with Cheese It instead of Ritz Crackers. Based on observation, the allegation of safe environment is unsubstantiated. No children’s faces were covered by blankets to help them sleep faster. Based on the interview, the allegation of learning environment is substantiated based on a child, who was four (4) months of age, were placed on the Bye-Bye-Bus on August 11, 2025. Based on the interview and observation, the allegation of Medical Care Plan is unsubstantiated. The chain command of the EMC plan was appropriately followed. Based on the observation, the allegation of staff/child ratios is unsubstantiated. No classrooms were out of ratios during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. On August 11, 2025, a child, who was four (4) months of age at the time, was placed in a Bye-Bye-Bus and taken for a walk. GS 110-91(12);10A NCAC 09 .0509(1) 505 Drinking water was not freely available to children of all ages. Per interview with staff members, drinking water for infants are not consistently offered. Staff members rely on the parents to provide drinking water for infants. .0901(e) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. The incident report for August 6, 2025, when a child was transported to a hospital by an ambulance for severe rash/hives were not submitted to the Division within seven (7) days. .0802(f) Technical assistance was provided as follows: 432: Developmentally appropriate equipment Centers must use developmentally appropriate equipment in accordance with .0509(l). As a best practice, staff should review the purpose of each piece of equipment and follow established guidelines. Using equipment that is not suitable for the age group increases the risk of injury. This item was corrected during visit. Ms. Lovelace stated that all staff members were instructed to use strollers for children under six (6) months of age, when the mistake was pointed out. 505: drinking water Drinking water must be freely available to children of all ages. Refer to .0901(e). When adults need water during outdoor time, children are likely to need it as well—if not more frequently. However, not all children can express their need for water or remember to pause for hydration during play. It is the caregiver’s responsibility to observe children’s behaviors, skin coloring, and body temperature, and to ensure they are offered and consume drinking water as needed. To comply, staff members should take water supplies for children upon going outside. Staff members must pay attention to the children. If they are sweating, cheeks are red or any other signs of them being hot, offer drinking water as needed. In the compliance letter, please state what you discussed with staff members. 1911: incident report to the Division When medical treatment is required for injuries or medical incidents that occur while children are in care, the incident report must be submitted to the Division within seven (7) days. Refer to .0802(f). The incident report of August 6, 2025, was obtained during the visit. In your compliance letter, please state how you will prevent this violation from recurring. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Substitute items: When substitute items are offered to children, the items must be recorded on the menu prior to serving the children. If a few children are offered different items, please make sure to note the substitutions in the classroom. Generic names, such as “cereal” is not recommended. Please use the names of cereals, such as Cheerios, Chex, etc. Supervision: Young children should be adequately supervised on the playground. Acorns can be choking hazard and the children on the playground should not be putting them in the mouth. Try to sweep out acorn as much as possible as well as adequately supervise young children. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

GS110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0825-230L Visit Date: 8/25/2025 Number Present: 101 Completed Date: 8/25/2025 Age: From 0 To 5 Total Minutes: 245 Time In: 12:33 PM Time Out: 04:38 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s complaint visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Lovelace assisted me today. Limited monitoring of Child Care Rules were conducted including but not limited to sanitation and health, nutrition, infant care, safe environment, staff/child ratios. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The facility operates with a GS110-106 issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 8/20/25 and sent to me on the same day. There are concerns regarding sanitation and health, nutrition, infant care, safe environment, learning environment, program record, Emergency Medical Care Plan, and staff/child ratios. Summary of information obtained by the Division pertains to categorized concerns are follows: Sanitation and Health: • On January 7, 2025, a staff member was permitted to bring a child who had a fever of 101 degrees at 2:30 pm (on the previous day). • On March 26 and 27, 2025, children played outside for extended periods during air quality index being purple. • On June 16, 2025, a staff member who suspected of contracting Chickenpox was allowed to work. • Children with spots due to Hand-Foot-Mouth disease were allowed to return to school on August 2, 2025. • High Chair trays are not properly cleaned. Nutrition: • On June 24, 2025, a child’s feeding plan was denied. • On July 19, 2025, a child was not provided with drinking water for extended period of time while being outside for a child who was fourteen (14) months old at the time. • ON August 14, 2025, a child was not offered drinking water in space #417. • Spoiled or expired food are served at the school. • Substitution items are not recorded on the menu. Safe Environment: • Staff members cover infants’ faces to make them sleep fast in space #421. • On July 29, 2025, a child, who was fourteen (14) months of age, had acorn and mulch in the mouth on the playground. Learning Environment: • On August 11, 2025, an infant, who was two (2) months of age, at the time was placed in the Bye-Bye Buggy to go for walk. Program records: • Attendance records, meals, name-to-face logs are not consistently posted in Brightwheel. Emergency Medical Care Plan: • On August 6, 2025, calling 911 was delayed for a child who had hives and labored breathing. Staff/Child ratios: • Classrooms are frequently combined and out of ratios. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were monitored for staff/child ratios and other permit restrictions and naptime. Children with fever over 101 degrees: Per interview with Ms. Lovelace, a child was sent home at 11:00 am on January 7, 2025, with an underarm temperature of 99.3 degrees. When the parent took the child to the doctor, the temperature under tongue was 100.3 degrees at 2:30 pm. Therefore, the child was not excluded from the school. A hard copy of the program policy that includes sickness policy is shared with parents upon enrollment. The policy was reviewed during the visit, and it contains a policy for fever and other symptoms and communicable disease policy. Air Quality: Per Air Quality Index (AQI) for March 26, it was 46 in Asheville, NC. It was the green zone. On March 27, 2025, the AQI was 93, which was in the dark yellow zone, which was in moderate health concerns. The advisement describes to limiting prolonged or heavy exertion outdoors. The information was obtained from Air Quality Forecasts from www.deq.nc.gov. Particle pollution from fine particulates (PM2.5) level on March 27, 2025, was 18 on March 27, 2025, and was in the yellow zone. Rule 15A NCAC 18A .2832 OUTDOOR LEARNING ENVIRONMENT AND PREMISES limits the outdoor time for code orange, red and purple. Based on the findings of air quality in Asheville for March 26 and March 27, 2025, it is concluded that the program followed guidelines appropriately. Data on Arden, NC was not available. Communicable Disease: Ms. Lovelace was interviewed for a case of Chickenpox. Per Ms. Lovelace, one (1) staff member notified her about potential Chickenpox on July 16, 2025. She guided the staff member to obtain a doctor’s note to be excused from work. The note was provided by the staff member on the 18th. The staff member did not work on the 16th or 17th. Two (2) children were sent home for rash that week prior to the 16th, but they were not diagnosed with Chickenpox. No children in the classroom were diagnosed with the disease. I also interviewed Ms. Lovelace of Hand-Foot-Mouth Disease. One (1) child who was diagnosed with Hand-Foot-Mouth was excluded around August 2, 2025. The instructions provided to the parents by the program were not to return to school if the rash was not blistered or oozing. The program and the parent exchanged text messages and photos to make sure that the child was in an adequate condition to return to school. Per communicable disease guideline provided by North Carolina Child Care Health and Safety Resource Center, no exclusion is required for Hand Foot Mouth Disease. The common understanding is that the people who had the disease are contagious before the rash appears. However, proper sanitization and disinfection of classrooms and other spaces are important to contain the spread of Hand Foot Mouth Disease. Feeding plans: Per my call log, Ms. Lovelace and I had a conversation regarding a child’s feeding plan. Per Ms. Lovelace, a parent submitted a doctor’s note on a child on June 24, 2025. At the time of the request to change the child’s feeding, feeding plan was not yet submitted. Ms. Lovelace requested a feeding plan to be filled out by a physician, and the parent submitted it on June 25, 2025. Per feeding plan, the food needed to be pureed and/or mashed. If the food is not consumed by the child, 4 oz of formula had to be provided to the child as supplemental food. Drinking water: During observation, all classrooms have a small black cart outside of the classroom. For the older children, thermos brought from home were on the cart. In space #421, some bottles with water were maintained in the cooler on the cart. No water bottles or sippy cups with water were on the cart for space #420 and #422. Per interview with classroom staff members, infants typically go for a walk for up to thirty (30) minutes at a time. The infants rarely or never go to the playground. Water bottles are typically provided by the parents if they want their child’s drink water. Another classroom staff stated that there is two (2) school sippy cups in the classroom in case parents forget to bring the cups. The amount of water consumed by each child is not recorded on Brightwheels. One staff member stated that he/she communicates with parents if children consume all water in their cup. Spoiled food: I monitored items in refrigerator. Refrigerator temperature was thirty-six (36) degrees. There were multiple kinds of special milk on the cart. Small cartons of regular milk and left over food were maintained on the racks. None of the milk was expired. Left over food was in a plastic container with a date. Per sanitation inspection conducted on 12/9/24, 12/14/23, 11/6/23, spoiled food had never been cited as a violation. On inspection conducted on 12/14/23, it was noted that the bottles were left on the counter in room #421. The staff member must complete the feeding within 1 hour, and the bottle must be removed when children engage in different activities per 15A NCAC 18 .2804(h). During today’s observation, most bottles were maintained in the classroom refrigerator with names and dates. In space #422, a bottle was in a bottle warmer. Substitution items: I reviewed the posted menu. The menu was posted on the bulletin board in the lobby. Per correction on the menu, lunch on the 12th and the 15th were swapped. Ritz crackers, string cheese and water were on the menu for snacks. I observed snacks in space #420, # 422, #420, #421, #418 and #417. A child in space #421 had Cheese It crackers, shredded sting cheese and water for snacks on the high chair. Three (3) children had snacks brought from home and all the other children had Ritz crackers, string cheese and water. High Chair trays: Staff members were interviewed for cleaning of high chair trays. Per staff members, trays are sent to the kitchen to be washed. Prior to snacks, the trays are brought back to the classroom. I observed trays being returned to the classroom during today’s visit. Safe environment: During today’s observation, no children’s faces were covered by blankets. I observed two children being rocked to sleep in space #420. The children’s faces were not covered. The playgrounds were monitored. On one (1) of younger children’s playgrounds, there is an acorn tree. The branches were over both playgrounds. Learning Environment: Ms. Lovelace was interviewed regarding the incident on August 11, 2025. Per Ms. Lovelace, on August 11, 2025, four (4) months old child at the time, was placed on the Bye-Bye-Bus. Later, she realized that the equipment was for children six (6) months of age, or older. Since the incident, all staff members were instructed to only place children over six (6) months of age, in the buggy/bus and use strollers for younger children. Program Records: A staff member was interviewed for program records maintained on Brightwheel. I requested the record for one (1) child in space #417 during the visit. The record was a picture of each meal, including breakfast, lunch and snack, and a picture of children on a Bye-Bye-Buggy and a picture of child sleeping on the cot. Although it is best practice to log transitions and meals, it is not required by child care rules. It is recommended to work with parents to agree on the details of documentation for meals. Attendance records was sufficient during the visit. Emergency Medical Care Plan: Ms. Lovelace was interviewed for incident on August 6, 2025. A child brought out of severe skin rash/hives at 12:40 pm. The classroom staff member notified Ms. Lovelace. 911 was called at 12:45 pm, and the parent of the child was notified at 12:51 pm. The child was treated in the ambulance as well as at the hospital and returned to school when it was permitted by the physician. The child was diagnosed and not medications or action plans were required. The incident report was created but not forwarded to me within seven (7) days. A copy of the incident report was obtained during the visit. Emergency Medical Care Plan was appropriately followed. Staff/Child ratios: During today’s observation, staff/child were as follows: #420: four (4) children, all infants, were present with two (2) staff members. #421: five (5) children, all infants, were present with two (2) staff members. #422: seven (7) children, infants and one (1) year old, were present with two (2) staff members. #419: eight (8) children, all one (1) year old, were present with two (2) staff members. #418: eight (8) children, all one (1) year old, were present with two (2) staff members. #417: nine (9) children, all one (1) year old, were present with two (2) staff members. #416: seven (7) children, all two (2) years old, were present with two (2) staff members. #414: eleven (11) children, all two (2) years old, were present with two (2) staff members. #410: ten (10) children, all two (2) years old, were present with two (2) staff members. #409: twelve (12) children, all three (3) years old, were present with two (2) staff members. #408: nine (9) children, all three (3) years old, were present with two (2) staff members. #406: six (6) children, three-to-four years old were present with two (2) staff members. #404: five (5) children, all four (4) years old, were present with two (2) staff members. Based on the interview, observation and program record, the allegation of sanitation and health is unsubstantiated. Each cases of communicable disease and other illness was managed appropriately per program policy. Based on the interview and observation, the allegation of nutrition is substantiated due to potential rack of drinking water available to all children. Even though there are spare cups maintained in some of the classrooms, it is providers responsibility to make sure that all children are offered drinking water throughout the day, especially when they are outside. There was not sufficient evidence that children were offered drinking water regularly during walks on the strollers and Buggy/Bus. Following feeding plans, noting substitution items, maintenance of food in the kitchen were not considered in substantiation of nutrition requirements. A consultation was provided for one (1) child being provided with Cheese It instead of Ritz Crackers. Based on observation, the allegation of safe environment is unsubstantiated. No children’s faces were covered by blankets to help them sleep faster. Based on the interview, the allegation of learning environment is substantiated based on a child, who was four (4) months of age, were placed on the Bye-Bye-Bus on August 11, 2025. Based on the interview and observation, the allegation of Medical Care Plan is unsubstantiated. The chain command of the EMC plan was appropriately followed. Based on the observation, the allegation of staff/child ratios is unsubstantiated. No classrooms were out of ratios during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. On August 11, 2025, a child, who was four (4) months of age at the time, was placed in a Bye-Bye-Bus and taken for a walk. GS 110-91(12);10A NCAC 09 .0509(1) 505 Drinking water was not freely available to children of all ages. Per interview with staff members, drinking water for infants are not consistently offered. Staff members rely on the parents to provide drinking water for infants. .0901(e) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. The incident report for August 6, 2025, when a child was transported to a hospital by an ambulance for severe rash/hives were not submitted to the Division within seven (7) days. .0802(f) Technical assistance was provided as follows: 432: Developmentally appropriate equipment Centers must use developmentally appropriate equipment in accordance with .0509(l). As a best practice, staff should review the purpose of each piece of equipment and follow established guidelines. Using equipment that is not suitable for the age group increases the risk of injury. This item was corrected during visit. Ms. Lovelace stated that all staff members were instructed to use strollers for children under six (6) months of age, when the mistake was pointed out. 505: drinking water Drinking water must be freely available to children of all ages. Refer to .0901(e). When adults need water during outdoor time, children are likely to need it as well—if not more frequently. However, not all children can express their need for water or remember to pause for hydration during play. It is the caregiver’s responsibility to observe children’s behaviors, skin coloring, and body temperature, and to ensure they are offered and consume drinking water as needed. To comply, staff members should take water supplies for children upon going outside. Staff members must pay attention to the children. If they are sweating, cheeks are red or any other signs of them being hot, offer drinking water as needed. In the compliance letter, please state what you discussed with staff members. 1911: incident report to the Division When medical treatment is required for injuries or medical incidents that occur while children are in care, the incident report must be submitted to the Division within seven (7) days. Refer to .0802(f). The incident report of August 6, 2025, was obtained during the visit. In your compliance letter, please state how you will prevent this violation from recurring. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Substitute items: When substitute items are offered to children, the items must be recorded on the menu prior to serving the children. If a few children are offered different items, please make sure to note the substitutions in the classroom. Generic names, such as “cereal” is not recommended. Please use the names of cereals, such as Cheerios, Chex, etc. Supervision: Young children should be adequately supervised on the playground. Acorns can be choking hazard and the children on the playground should not be putting them in the mouth. Try to sweep out acorn as much as possible as well as adequately supervise young children. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0825-230L Visit Date: 8/25/2025 Number Present: 101 Completed Date: 8/25/2025 Age: From 0 To 5 Total Minutes: 245 Time In: 12:33 PM Time Out: 04:38 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s complaint visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Lovelace assisted me today. Limited monitoring of Child Care Rules were conducted including but not limited to sanitation and health, nutrition, infant care, safe environment, staff/child ratios. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The facility operates with a GS110-106 issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 8/20/25 and sent to me on the same day. There are concerns regarding sanitation and health, nutrition, infant care, safe environment, learning environment, program record, Emergency Medical Care Plan, and staff/child ratios. Summary of information obtained by the Division pertains to categorized concerns are follows: Sanitation and Health: • On January 7, 2025, a staff member was permitted to bring a child who had a fever of 101 degrees at 2:30 pm (on the previous day). • On March 26 and 27, 2025, children played outside for extended periods during air quality index being purple. • On June 16, 2025, a staff member who suspected of contracting Chickenpox was allowed to work. • Children with spots due to Hand-Foot-Mouth disease were allowed to return to school on August 2, 2025. • High Chair trays are not properly cleaned. Nutrition: • On June 24, 2025, a child’s feeding plan was denied. • On July 19, 2025, a child was not provided with drinking water for extended period of time while being outside for a child who was fourteen (14) months old at the time. • ON August 14, 2025, a child was not offered drinking water in space #417. • Spoiled or expired food are served at the school. • Substitution items are not recorded on the menu. Safe Environment: • Staff members cover infants’ faces to make them sleep fast in space #421. • On July 29, 2025, a child, who was fourteen (14) months of age, had acorn and mulch in the mouth on the playground. Learning Environment: • On August 11, 2025, an infant, who was two (2) months of age, at the time was placed in the Bye-Bye Buggy to go for walk. Program records: • Attendance records, meals, name-to-face logs are not consistently posted in Brightwheel. Emergency Medical Care Plan: • On August 6, 2025, calling 911 was delayed for a child who had hives and labored breathing. Staff/Child ratios: • Classrooms are frequently combined and out of ratios. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were monitored for staff/child ratios and other permit restrictions and naptime. Children with fever over 101 degrees: Per interview with Ms. Lovelace, a child was sent home at 11:00 am on January 7, 2025, with an underarm temperature of 99.3 degrees. When the parent took the child to the doctor, the temperature under tongue was 100.3 degrees at 2:30 pm. Therefore, the child was not excluded from the school. A hard copy of the program policy that includes sickness policy is shared with parents upon enrollment. The policy was reviewed during the visit, and it contains a policy for fever and other symptoms and communicable disease policy. Air Quality: Per Air Quality Index (AQI) for March 26, it was 46 in Asheville, NC. It was the green zone. On March 27, 2025, the AQI was 93, which was in the dark yellow zone, which was in moderate health concerns. The advisement describes to limiting prolonged or heavy exertion outdoors. The information was obtained from Air Quality Forecasts from www.deq.nc.gov. Particle pollution from fine particulates (PM2.5) level on March 27, 2025, was 18 on March 27, 2025, and was in the yellow zone. Rule 15A NCAC 18A .2832 OUTDOOR LEARNING ENVIRONMENT AND PREMISES limits the outdoor time for code orange, red and purple. Based on the findings of air quality in Asheville for March 26 and March 27, 2025, it is concluded that the program followed guidelines appropriately. Data on Arden, NC was not available. Communicable Disease: Ms. Lovelace was interviewed for a case of Chickenpox. Per Ms. Lovelace, one (1) staff member notified her about potential Chickenpox on July 16, 2025. She guided the staff member to obtain a doctor’s note to be excused from work. The note was provided by the staff member on the 18th. The staff member did not work on the 16th or 17th. Two (2) children were sent home for rash that week prior to the 16th, but they were not diagnosed with Chickenpox. No children in the classroom were diagnosed with the disease. I also interviewed Ms. Lovelace of Hand-Foot-Mouth Disease. One (1) child who was diagnosed with Hand-Foot-Mouth was excluded around August 2, 2025. The instructions provided to the parents by the program were not to return to school if the rash was not blistered or oozing. The program and the parent exchanged text messages and photos to make sure that the child was in an adequate condition to return to school. Per communicable disease guideline provided by North Carolina Child Care Health and Safety Resource Center, no exclusion is required for Hand Foot Mouth Disease. The common understanding is that the people who had the disease are contagious before the rash appears. However, proper sanitization and disinfection of classrooms and other spaces are important to contain the spread of Hand Foot Mouth Disease. Feeding plans: Per my call log, Ms. Lovelace and I had a conversation regarding a child’s feeding plan. Per Ms. Lovelace, a parent submitted a doctor’s note on a child on June 24, 2025. At the time of the request to change the child’s feeding, feeding plan was not yet submitted. Ms. Lovelace requested a feeding plan to be filled out by a physician, and the parent submitted it on June 25, 2025. Per feeding plan, the food needed to be pureed and/or mashed. If the food is not consumed by the child, 4 oz of formula had to be provided to the child as supplemental food. Drinking water: During observation, all classrooms have a small black cart outside of the classroom. For the older children, thermos brought from home were on the cart. In space #421, some bottles with water were maintained in the cooler on the cart. No water bottles or sippy cups with water were on the cart for space #420 and #422. Per interview with classroom staff members, infants typically go for a walk for up to thirty (30) minutes at a time. The infants rarely or never go to the playground. Water bottles are typically provided by the parents if they want their child’s drink water. Another classroom staff stated that there is two (2) school sippy cups in the classroom in case parents forget to bring the cups. The amount of water consumed by each child is not recorded on Brightwheels. One staff member stated that he/she communicates with parents if children consume all water in their cup. Spoiled food: I monitored items in refrigerator. Refrigerator temperature was thirty-six (36) degrees. There were multiple kinds of special milk on the cart. Small cartons of regular milk and left over food were maintained on the racks. None of the milk was expired. Left over food was in a plastic container with a date. Per sanitation inspection conducted on 12/9/24, 12/14/23, 11/6/23, spoiled food had never been cited as a violation. On inspection conducted on 12/14/23, it was noted that the bottles were left on the counter in room #421. The staff member must complete the feeding within 1 hour, and the bottle must be removed when children engage in different activities per 15A NCAC 18 .2804(h). During today’s observation, most bottles were maintained in the classroom refrigerator with names and dates. In space #422, a bottle was in a bottle warmer. Substitution items: I reviewed the posted menu. The menu was posted on the bulletin board in the lobby. Per correction on the menu, lunch on the 12th and the 15th were swapped. Ritz crackers, string cheese and water were on the menu for snacks. I observed snacks in space #420, # 422, #420, #421, #418 and #417. A child in space #421 had Cheese It crackers, shredded sting cheese and water for snacks on the high chair. Three (3) children had snacks brought from home and all the other children had Ritz crackers, string cheese and water. High Chair trays: Staff members were interviewed for cleaning of high chair trays. Per staff members, trays are sent to the kitchen to be washed. Prior to snacks, the trays are brought back to the classroom. I observed trays being returned to the classroom during today’s visit. Safe environment: During today’s observation, no children’s faces were covered by blankets. I observed two children being rocked to sleep in space #420. The children’s faces were not covered. The playgrounds were monitored. On one (1) of younger children’s playgrounds, there is an acorn tree. The branches were over both playgrounds. Learning Environment: Ms. Lovelace was interviewed regarding the incident on August 11, 2025. Per Ms. Lovelace, on August 11, 2025, four (4) months old child at the time, was placed on the Bye-Bye-Bus. Later, she realized that the equipment was for children six (6) months of age, or older. Since the incident, all staff members were instructed to only place children over six (6) months of age, in the buggy/bus and use strollers for younger children. Program Records: A staff member was interviewed for program records maintained on Brightwheel. I requested the record for one (1) child in space #417 during the visit. The record was a picture of each meal, including breakfast, lunch and snack, and a picture of children on a Bye-Bye-Buggy and a picture of child sleeping on the cot. Although it is best practice to log transitions and meals, it is not required by child care rules. It is recommended to work with parents to agree on the details of documentation for meals. Attendance records was sufficient during the visit. Emergency Medical Care Plan: Ms. Lovelace was interviewed for incident on August 6, 2025. A child brought out of severe skin rash/hives at 12:40 pm. The classroom staff member notified Ms. Lovelace. 911 was called at 12:45 pm, and the parent of the child was notified at 12:51 pm. The child was treated in the ambulance as well as at the hospital and returned to school when it was permitted by the physician. The child was diagnosed and not medications or action plans were required. The incident report was created but not forwarded to me within seven (7) days. A copy of the incident report was obtained during the visit. Emergency Medical Care Plan was appropriately followed. Staff/Child ratios: During today’s observation, staff/child were as follows: #420: four (4) children, all infants, were present with two (2) staff members. #421: five (5) children, all infants, were present with two (2) staff members. #422: seven (7) children, infants and one (1) year old, were present with two (2) staff members. #419: eight (8) children, all one (1) year old, were present with two (2) staff members. #418: eight (8) children, all one (1) year old, were present with two (2) staff members. #417: nine (9) children, all one (1) year old, were present with two (2) staff members. #416: seven (7) children, all two (2) years old, were present with two (2) staff members. #414: eleven (11) children, all two (2) years old, were present with two (2) staff members. #410: ten (10) children, all two (2) years old, were present with two (2) staff members. #409: twelve (12) children, all three (3) years old, were present with two (2) staff members. #408: nine (9) children, all three (3) years old, were present with two (2) staff members. #406: six (6) children, three-to-four years old were present with two (2) staff members. #404: five (5) children, all four (4) years old, were present with two (2) staff members. Based on the interview, observation and program record, the allegation of sanitation and health is unsubstantiated. Each cases of communicable disease and other illness was managed appropriately per program policy. Based on the interview and observation, the allegation of nutrition is substantiated due to potential rack of drinking water available to all children. Even though there are spare cups maintained in some of the classrooms, it is providers responsibility to make sure that all children are offered drinking water throughout the day, especially when they are outside. There was not sufficient evidence that children were offered drinking water regularly during walks on the strollers and Buggy/Bus. Following feeding plans, noting substitution items, maintenance of food in the kitchen were not considered in substantiation of nutrition requirements. A consultation was provided for one (1) child being provided with Cheese It instead of Ritz Crackers. Based on observation, the allegation of safe environment is unsubstantiated. No children’s faces were covered by blankets to help them sleep faster. Based on the interview, the allegation of learning environment is substantiated based on a child, who was four (4) months of age, were placed on the Bye-Bye-Bus on August 11, 2025. Based on the interview and observation, the allegation of Medical Care Plan is unsubstantiated. The chain command of the EMC plan was appropriately followed. Based on the observation, the allegation of staff/child ratios is unsubstantiated. No classrooms were out of ratios during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. On August 11, 2025, a child, who was four (4) months of age at the time, was placed in a Bye-Bye-Bus and taken for a walk. GS 110-91(12);10A NCAC 09 .0509(1) 505 Drinking water was not freely available to children of all ages. Per interview with staff members, drinking water for infants are not consistently offered. Staff members rely on the parents to provide drinking water for infants. .0901(e) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. The incident report for August 6, 2025, when a child was transported to a hospital by an ambulance for severe rash/hives were not submitted to the Division within seven (7) days. .0802(f) Technical assistance was provided as follows: 432: Developmentally appropriate equipment Centers must use developmentally appropriate equipment in accordance with .0509(l). As a best practice, staff should review the purpose of each piece of equipment and follow established guidelines. Using equipment that is not suitable for the age group increases the risk of injury. This item was corrected during visit. Ms. Lovelace stated that all staff members were instructed to use strollers for children under six (6) months of age, when the mistake was pointed out. 505: drinking water Drinking water must be freely available to children of all ages. Refer to .0901(e). When adults need water during outdoor time, children are likely to need it as well—if not more frequently. However, not all children can express their need for water or remember to pause for hydration during play. It is the caregiver’s responsibility to observe children’s behaviors, skin coloring, and body temperature, and to ensure they are offered and consume drinking water as needed. To comply, staff members should take water supplies for children upon going outside. Staff members must pay attention to the children. If they are sweating, cheeks are red or any other signs of them being hot, offer drinking water as needed. In the compliance letter, please state what you discussed with staff members. 1911: incident report to the Division When medical treatment is required for injuries or medical incidents that occur while children are in care, the incident report must be submitted to the Division within seven (7) days. Refer to .0802(f). The incident report of August 6, 2025, was obtained during the visit. In your compliance letter, please state how you will prevent this violation from recurring. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Substitute items: When substitute items are offered to children, the items must be recorded on the menu prior to serving the children. If a few children are offered different items, please make sure to note the substitutions in the classroom. Generic names, such as “cereal” is not recommended. Please use the names of cereals, such as Cheerios, Chex, etc. Supervision: Young children should be adequately supervised on the playground. Acorns can be choking hazard and the children on the playground should not be putting them in the mouth. Try to sweep out acorn as much as possible as well as adequately supervise young children. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .0304 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/12/2025 Number Present: 105 Completed Date: 8/12/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 08:43 AM Time Out: 02:58 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 visit was to monitor compliance during Administrative Action Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Grayson Crow, Enrollment Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Sandra Lovelace, Administrator, was available during the visit. Ms. Lovelace was temporarily out of her office during post-visit conference. Limited monitoring of child care requirements was conducted during today’s visit including but not limited to supervision and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The program operates with GS110-106 issued on 10/10/24 with restrictions, daytime care and children in care on ground level only. The program receives subsidies. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were observed during the visit. In space #1, a group of children were engaged in coloring activities. In space #3, nine (9) children participated in group time and listened to A Bad Case of Stripes. The children from spaces #5, #6, and #7 played on the playground using playground structures. In space #9, ten (10) children participated in group time, listening to a book and singing songs. In space #14, one (1) infant was asleep in a crib, one (1) was being bottle-fed, one (1) had a diaper change, one (1) was in a rocker, and one (1) was playing with toys. The transition process was monitored in multiple spaces. Ten (10) children from space #9 transitioned from the classroom to the playground, with a staff member calling each child’s name and number as they crossed each threshold, and two (2) staff members communicating to confirm total counts. Seven (7) children from space #7 transitioned from the playground to the bathroom, with the staff member touching each child’s head as they crossed the threshold and calling their name and number. Ten (10) children from space #8 transitioned from the bathroom to the playground; as each child finished using the bathroom, they lined up and sat in the hallway while one (1) staff member supervised inside the bathroom and another supervised in the hallway. Four (4) children from space #5 transitioned from the classroom to the playground, with each staff member holding two (2) children’s hands while names and counts were confirmed as they crossed the threshold. Ten (10) children from space #6 transitioned from the playground to the bathroom, and the transition process was observed to be adequate. A review of staff files was conducted, which included forty-four (44) existing staff files checked for criminal background letters and special training certificates. Two (2) new staff files were reviewed in full. Administrative Action: Administrative Action Written Warning was issued on June 19, 2025. The progress of the following corrective action was monitored: Stipulation #1: Supervision was monitored during today’s visit, and it was adequate. Stipulation #1 requirements were met during today’s visit. Stipulation #2: Stipulation #2 was met. Sandra Lovelace, Administrator, initially attempted to contact Stevie Alverson, Professional Development Coordinator, Buncombe Partnership for Children, via phone on July 1, 2025, to request technical assistance visit. Ms. Lovelace was able to speak to Ms. Alverson on July 7, 2025. Ms. Alverson visited the site on July 16, 2025. Per email communication with Ms. Alverson on the same day, she described supervision drill that involves imaginary children who randomly shows up on the roster in a classroom to ensure that the staff members are aware of the accurate counts of children and conduct an appropriate supervision procedure. Ms. Alverson also mentioned the use of ropes, name-to-face checks, out-loud counting through thresholds crossing. The technical assistance was provided by Ms. Alverson on potential hiding spots for children, subjects covered in staff meetings and training. Each classroom was monitored by Ms. Alverson. Stipulation #2 is completed. Stipulation #3: Ms. Lovelace discussed supervision training on July16, 2025 in-person with Ms. Alverson. The training was provided to staff members on August 8, 2025, and the title of the training was “Interactive Supervision”. The training roster was submitted by Ms. Alverson on August 11, 2025, and the topic of the training, names and signatures of staff members who participated in the training was reviewed. Per the roster, thirty-eight (38) participated in the training. Seven (7) staff members were out for health-related reasons. The seven (7) staff members who were not present at the training must complete “Interactive Supervision” training when returned. Recorded version is acceptable. Please contact Ms. Alverson and discuss the alternative. When seven (7) staff members, if currently employed, complete the required training, this item will be considered complete. Stipulation #4: No plan has been submitted as of today. Ms. Lovelace is currently working on the plan and will submit it when completed. Stipulation #5: Not yet scheduled. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). K. Mauney's qualification letter expired on 8/4/25, and the re-application had not been submitted at the time of the visit. G.S. 110-90.2(b) & .2703(n)&(o) 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. A staff member who was hired on 5/12/25 did not complete First Aid training 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. A staff member who was hired on 5/12/25 did not complete CPR training within ninety (90) days of employment. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Two(2) staff member's valid qualification letters were not on file. One (1) staff member's (Date of employment- 5/27/25) letter was printed during the visit and filed. Staff member who was hired on 3/10/25 did not have a valid qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR Per Rule .1102(c)(d), new staff members must complete First Aid and CPR training within ninety (90) days of their employment date and maintain current certification thereafter. Since the staff person (SP) was hired on May 12, 2024, they must complete pediatric (infant/child) First Aid and CPR training no later than August 26, 2025 to remain in compliance. There are 3 openings on CPR/FA on August 16, 2025, from 9:00 am – 11:15 am in Asheville with the cost of $88. Another class is offered on August 20, 2025, from 9:00 am to 11:15 am in Hendersonville with the cost of $88. Please see https://www.redcross.org/take-a-class/cpr?latitude=35.5975104&longitude=-82.54605629999999&searchtype=class&zip=Asheville%2C%20NC%2C%20USA for details. Buncombe Partnership for Children offers CPR/FA training on September 2, 2025, from 5:30 pm to 7:30 pm. with the cost of $50. Please see details on https://buncombepfc.org/training/ 1044: Criminal background check renewal 1757: valid qualification letter on file DCDEE qualification letter must be renewed prior to its expiration date. Also, a valid qualification must be in the staff files at all times. D. Mendoza-Huerta must renew his/her criminal background check immediately on the ABCMS. He/she has up to fifteen (15) days to complete all required process and the letter to be issued. If he/she does not receive the qualification letter by August 27, 2025, he/she may not be present at the facility until the letter is issued. I strongly advise him/her to submit an application today. Once the qualification letter is issued, you shall print the letter and file it immediately. In your compliance letter, please state the date the letter was issued as well as the date the letter was filed. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/26/25. Please note that you have until 8/27/25 to correct item 1757, if necessary. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. The following questions are asked by staff members: Trash cans: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Per Rule .0604(v)(1–4), procedures are in place to reduce the spread of biological contaminants. You may choose the appropriate method to store or dispose of biocontaminants from the list below. When you are aware of viral or bacterial infections, consider removing contaminated items and take extra precautions to ensure that children do not have access to them. (v) In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. Evacuation of non-mobile children: You must review and follow your center’s procedures for non-ambulatory children as outlined in your program’s Emergency Preparedness and Response Plan. Carrying children during an evacuation is not recommended, as running individuals and potential tripping hazards along the evacuation path can increase the risk of injury. To ensure the safety of children, the use of evacuation devices that allow staff members to quickly load and transport children out of the area is recommended. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/12/2025 Number Present: 105 Completed Date: 8/12/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 08:43 AM Time Out: 02:58 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 visit was to monitor compliance during Administrative Action Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Grayson Crow, Enrollment Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Sandra Lovelace, Administrator, was available during the visit. Ms. Lovelace was temporarily out of her office during post-visit conference. Limited monitoring of child care requirements was conducted during today’s visit including but not limited to supervision and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The program operates with GS110-106 issued on 10/10/24 with restrictions, daytime care and children in care on ground level only. The program receives subsidies. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were observed during the visit. In space #1, a group of children were engaged in coloring activities. In space #3, nine (9) children participated in group time and listened to A Bad Case of Stripes. The children from spaces #5, #6, and #7 played on the playground using playground structures. In space #9, ten (10) children participated in group time, listening to a book and singing songs. In space #14, one (1) infant was asleep in a crib, one (1) was being bottle-fed, one (1) had a diaper change, one (1) was in a rocker, and one (1) was playing with toys. The transition process was monitored in multiple spaces. Ten (10) children from space #9 transitioned from the classroom to the playground, with a staff member calling each child’s name and number as they crossed each threshold, and two (2) staff members communicating to confirm total counts. Seven (7) children from space #7 transitioned from the playground to the bathroom, with the staff member touching each child’s head as they crossed the threshold and calling their name and number. Ten (10) children from space #8 transitioned from the bathroom to the playground; as each child finished using the bathroom, they lined up and sat in the hallway while one (1) staff member supervised inside the bathroom and another supervised in the hallway. Four (4) children from space #5 transitioned from the classroom to the playground, with each staff member holding two (2) children’s hands while names and counts were confirmed as they crossed the threshold. Ten (10) children from space #6 transitioned from the playground to the bathroom, and the transition process was observed to be adequate. A review of staff files was conducted, which included forty-four (44) existing staff files checked for criminal background letters and special training certificates. Two (2) new staff files were reviewed in full. Administrative Action: Administrative Action Written Warning was issued on June 19, 2025. The progress of the following corrective action was monitored: Stipulation #1: Supervision was monitored during today’s visit, and it was adequate. Stipulation #1 requirements were met during today’s visit. Stipulation #2: Stipulation #2 was met. Sandra Lovelace, Administrator, initially attempted to contact Stevie Alverson, Professional Development Coordinator, Buncombe Partnership for Children, via phone on July 1, 2025, to request technical assistance visit. Ms. Lovelace was able to speak to Ms. Alverson on July 7, 2025. Ms. Alverson visited the site on July 16, 2025. Per email communication with Ms. Alverson on the same day, she described supervision drill that involves imaginary children who randomly shows up on the roster in a classroom to ensure that the staff members are aware of the accurate counts of children and conduct an appropriate supervision procedure. Ms. Alverson also mentioned the use of ropes, name-to-face checks, out-loud counting through thresholds crossing. The technical assistance was provided by Ms. Alverson on potential hiding spots for children, subjects covered in staff meetings and training. Each classroom was monitored by Ms. Alverson. Stipulation #2 is completed. Stipulation #3: Ms. Lovelace discussed supervision training on July16, 2025 in-person with Ms. Alverson. The training was provided to staff members on August 8, 2025, and the title of the training was “Interactive Supervision”. The training roster was submitted by Ms. Alverson on August 11, 2025, and the topic of the training, names and signatures of staff members who participated in the training was reviewed. Per the roster, thirty-eight (38) participated in the training. Seven (7) staff members were out for health-related reasons. The seven (7) staff members who were not present at the training must complete “Interactive Supervision” training when returned. Recorded version is acceptable. Please contact Ms. Alverson and discuss the alternative. When seven (7) staff members, if currently employed, complete the required training, this item will be considered complete. Stipulation #4: No plan has been submitted as of today. Ms. Lovelace is currently working on the plan and will submit it when completed. Stipulation #5: Not yet scheduled. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). K. Mauney's qualification letter expired on 8/4/25, and the re-application had not been submitted at the time of the visit. G.S. 110-90.2(b) & .2703(n)&(o) 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. A staff member who was hired on 5/12/25 did not complete First Aid training 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. A staff member who was hired on 5/12/25 did not complete CPR training within ninety (90) days of employment. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Two(2) staff member's valid qualification letters were not on file. One (1) staff member's (Date of employment- 5/27/25) letter was printed during the visit and filed. Staff member who was hired on 3/10/25 did not have a valid qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR Per Rule .1102(c)(d), new staff members must complete First Aid and CPR training within ninety (90) days of their employment date and maintain current certification thereafter. Since the staff person (SP) was hired on May 12, 2024, they must complete pediatric (infant/child) First Aid and CPR training no later than August 26, 2025 to remain in compliance. There are 3 openings on CPR/FA on August 16, 2025, from 9:00 am – 11:15 am in Asheville with the cost of $88. Another class is offered on August 20, 2025, from 9:00 am to 11:15 am in Hendersonville with the cost of $88. Please see https://www.redcross.org/take-a-class/cpr?latitude=35.5975104&longitude=-82.54605629999999&searchtype=class&zip=Asheville%2C%20NC%2C%20USA for details. Buncombe Partnership for Children offers CPR/FA training on September 2, 2025, from 5:30 pm to 7:30 pm. with the cost of $50. Please see details on https://buncombepfc.org/training/ 1044: Criminal background check renewal 1757: valid qualification letter on file DCDEE qualification letter must be renewed prior to its expiration date. Also, a valid qualification must be in the staff files at all times. D. Mendoza-Huerta must renew his/her criminal background check immediately on the ABCMS. He/she has up to fifteen (15) days to complete all required process and the letter to be issued. If he/she does not receive the qualification letter by August 27, 2025, he/she may not be present at the facility until the letter is issued. I strongly advise him/her to submit an application today. Once the qualification letter is issued, you shall print the letter and file it immediately. In your compliance letter, please state the date the letter was issued as well as the date the letter was filed. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/26/25. Please note that you have until 8/27/25 to correct item 1757, if necessary. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. The following questions are asked by staff members: Trash cans: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Per Rule .0604(v)(1–4), procedures are in place to reduce the spread of biological contaminants. You may choose the appropriate method to store or dispose of biocontaminants from the list below. When you are aware of viral or bacterial infections, consider removing contaminated items and take extra precautions to ensure that children do not have access to them. (v) In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. Evacuation of non-mobile children: You must review and follow your center’s procedures for non-ambulatory children as outlined in your program’s Emergency Preparedness and Response Plan. Carrying children during an evacuation is not recommended, as running individuals and potential tripping hazards along the evacuation path can increase the risk of injury. To ensure the safety of children, the use of evacuation devices that allow staff members to quickly load and transport children out of the area is recommended. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1102 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/12/2025 Number Present: 105 Completed Date: 8/12/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 08:43 AM Time Out: 02:58 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 visit was to monitor compliance during Administrative Action Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Grayson Crow, Enrollment Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Sandra Lovelace, Administrator, was available during the visit. Ms. Lovelace was temporarily out of her office during post-visit conference. Limited monitoring of child care requirements was conducted during today’s visit including but not limited to supervision and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The program operates with GS110-106 issued on 10/10/24 with restrictions, daytime care and children in care on ground level only. The program receives subsidies. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were observed during the visit. In space #1, a group of children were engaged in coloring activities. In space #3, nine (9) children participated in group time and listened to A Bad Case of Stripes. The children from spaces #5, #6, and #7 played on the playground using playground structures. In space #9, ten (10) children participated in group time, listening to a book and singing songs. In space #14, one (1) infant was asleep in a crib, one (1) was being bottle-fed, one (1) had a diaper change, one (1) was in a rocker, and one (1) was playing with toys. The transition process was monitored in multiple spaces. Ten (10) children from space #9 transitioned from the classroom to the playground, with a staff member calling each child’s name and number as they crossed each threshold, and two (2) staff members communicating to confirm total counts. Seven (7) children from space #7 transitioned from the playground to the bathroom, with the staff member touching each child’s head as they crossed the threshold and calling their name and number. Ten (10) children from space #8 transitioned from the bathroom to the playground; as each child finished using the bathroom, they lined up and sat in the hallway while one (1) staff member supervised inside the bathroom and another supervised in the hallway. Four (4) children from space #5 transitioned from the classroom to the playground, with each staff member holding two (2) children’s hands while names and counts were confirmed as they crossed the threshold. Ten (10) children from space #6 transitioned from the playground to the bathroom, and the transition process was observed to be adequate. A review of staff files was conducted, which included forty-four (44) existing staff files checked for criminal background letters and special training certificates. Two (2) new staff files were reviewed in full. Administrative Action: Administrative Action Written Warning was issued on June 19, 2025. The progress of the following corrective action was monitored: Stipulation #1: Supervision was monitored during today’s visit, and it was adequate. Stipulation #1 requirements were met during today’s visit. Stipulation #2: Stipulation #2 was met. Sandra Lovelace, Administrator, initially attempted to contact Stevie Alverson, Professional Development Coordinator, Buncombe Partnership for Children, via phone on July 1, 2025, to request technical assistance visit. Ms. Lovelace was able to speak to Ms. Alverson on July 7, 2025. Ms. Alverson visited the site on July 16, 2025. Per email communication with Ms. Alverson on the same day, she described supervision drill that involves imaginary children who randomly shows up on the roster in a classroom to ensure that the staff members are aware of the accurate counts of children and conduct an appropriate supervision procedure. Ms. Alverson also mentioned the use of ropes, name-to-face checks, out-loud counting through thresholds crossing. The technical assistance was provided by Ms. Alverson on potential hiding spots for children, subjects covered in staff meetings and training. Each classroom was monitored by Ms. Alverson. Stipulation #2 is completed. Stipulation #3: Ms. Lovelace discussed supervision training on July16, 2025 in-person with Ms. Alverson. The training was provided to staff members on August 8, 2025, and the title of the training was “Interactive Supervision”. The training roster was submitted by Ms. Alverson on August 11, 2025, and the topic of the training, names and signatures of staff members who participated in the training was reviewed. Per the roster, thirty-eight (38) participated in the training. Seven (7) staff members were out for health-related reasons. The seven (7) staff members who were not present at the training must complete “Interactive Supervision” training when returned. Recorded version is acceptable. Please contact Ms. Alverson and discuss the alternative. When seven (7) staff members, if currently employed, complete the required training, this item will be considered complete. Stipulation #4: No plan has been submitted as of today. Ms. Lovelace is currently working on the plan and will submit it when completed. Stipulation #5: Not yet scheduled. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). K. Mauney's qualification letter expired on 8/4/25, and the re-application had not been submitted at the time of the visit. G.S. 110-90.2(b) & .2703(n)&(o) 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. A staff member who was hired on 5/12/25 did not complete First Aid training 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. A staff member who was hired on 5/12/25 did not complete CPR training within ninety (90) days of employment. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Two(2) staff member's valid qualification letters were not on file. One (1) staff member's (Date of employment- 5/27/25) letter was printed during the visit and filed. Staff member who was hired on 3/10/25 did not have a valid qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR Per Rule .1102(c)(d), new staff members must complete First Aid and CPR training within ninety (90) days of their employment date and maintain current certification thereafter. Since the staff person (SP) was hired on May 12, 2024, they must complete pediatric (infant/child) First Aid and CPR training no later than August 26, 2025 to remain in compliance. There are 3 openings on CPR/FA on August 16, 2025, from 9:00 am – 11:15 am in Asheville with the cost of $88. Another class is offered on August 20, 2025, from 9:00 am to 11:15 am in Hendersonville with the cost of $88. Please see https://www.redcross.org/take-a-class/cpr?latitude=35.5975104&longitude=-82.54605629999999&searchtype=class&zip=Asheville%2C%20NC%2C%20USA for details. Buncombe Partnership for Children offers CPR/FA training on September 2, 2025, from 5:30 pm to 7:30 pm. with the cost of $50. Please see details on https://buncombepfc.org/training/ 1044: Criminal background check renewal 1757: valid qualification letter on file DCDEE qualification letter must be renewed prior to its expiration date. Also, a valid qualification must be in the staff files at all times. D. Mendoza-Huerta must renew his/her criminal background check immediately on the ABCMS. He/she has up to fifteen (15) days to complete all required process and the letter to be issued. If he/she does not receive the qualification letter by August 27, 2025, he/she may not be present at the facility until the letter is issued. I strongly advise him/her to submit an application today. Once the qualification letter is issued, you shall print the letter and file it immediately. In your compliance letter, please state the date the letter was issued as well as the date the letter was filed. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/26/25. Please note that you have until 8/27/25 to correct item 1757, if necessary. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. The following questions are asked by staff members: Trash cans: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Per Rule .0604(v)(1–4), procedures are in place to reduce the spread of biological contaminants. You may choose the appropriate method to store or dispose of biocontaminants from the list below. When you are aware of viral or bacterial infections, consider removing contaminated items and take extra precautions to ensure that children do not have access to them. (v) In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. Evacuation of non-mobile children: You must review and follow your center’s procedures for non-ambulatory children as outlined in your program’s Emergency Preparedness and Response Plan. Carrying children during an evacuation is not recommended, as running individuals and potential tripping hazards along the evacuation path can increase the risk of injury. To ensure the safety of children, the use of evacuation devices that allow staff members to quickly load and transport children out of the area is recommended. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1703 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/12/2025 Number Present: 105 Completed Date: 8/12/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 08:43 AM Time Out: 02:58 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 visit was to monitor compliance during Administrative Action Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Grayson Crow, Enrollment Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Sandra Lovelace, Administrator, was available during the visit. Ms. Lovelace was temporarily out of her office during post-visit conference. Limited monitoring of child care requirements was conducted during today’s visit including but not limited to supervision and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The program operates with GS110-106 issued on 10/10/24 with restrictions, daytime care and children in care on ground level only. The program receives subsidies. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were observed during the visit. In space #1, a group of children were engaged in coloring activities. In space #3, nine (9) children participated in group time and listened to A Bad Case of Stripes. The children from spaces #5, #6, and #7 played on the playground using playground structures. In space #9, ten (10) children participated in group time, listening to a book and singing songs. In space #14, one (1) infant was asleep in a crib, one (1) was being bottle-fed, one (1) had a diaper change, one (1) was in a rocker, and one (1) was playing with toys. The transition process was monitored in multiple spaces. Ten (10) children from space #9 transitioned from the classroom to the playground, with a staff member calling each child’s name and number as they crossed each threshold, and two (2) staff members communicating to confirm total counts. Seven (7) children from space #7 transitioned from the playground to the bathroom, with the staff member touching each child’s head as they crossed the threshold and calling their name and number. Ten (10) children from space #8 transitioned from the bathroom to the playground; as each child finished using the bathroom, they lined up and sat in the hallway while one (1) staff member supervised inside the bathroom and another supervised in the hallway. Four (4) children from space #5 transitioned from the classroom to the playground, with each staff member holding two (2) children’s hands while names and counts were confirmed as they crossed the threshold. Ten (10) children from space #6 transitioned from the playground to the bathroom, and the transition process was observed to be adequate. A review of staff files was conducted, which included forty-four (44) existing staff files checked for criminal background letters and special training certificates. Two (2) new staff files were reviewed in full. Administrative Action: Administrative Action Written Warning was issued on June 19, 2025. The progress of the following corrective action was monitored: Stipulation #1: Supervision was monitored during today’s visit, and it was adequate. Stipulation #1 requirements were met during today’s visit. Stipulation #2: Stipulation #2 was met. Sandra Lovelace, Administrator, initially attempted to contact Stevie Alverson, Professional Development Coordinator, Buncombe Partnership for Children, via phone on July 1, 2025, to request technical assistance visit. Ms. Lovelace was able to speak to Ms. Alverson on July 7, 2025. Ms. Alverson visited the site on July 16, 2025. Per email communication with Ms. Alverson on the same day, she described supervision drill that involves imaginary children who randomly shows up on the roster in a classroom to ensure that the staff members are aware of the accurate counts of children and conduct an appropriate supervision procedure. Ms. Alverson also mentioned the use of ropes, name-to-face checks, out-loud counting through thresholds crossing. The technical assistance was provided by Ms. Alverson on potential hiding spots for children, subjects covered in staff meetings and training. Each classroom was monitored by Ms. Alverson. Stipulation #2 is completed. Stipulation #3: Ms. Lovelace discussed supervision training on July16, 2025 in-person with Ms. Alverson. The training was provided to staff members on August 8, 2025, and the title of the training was “Interactive Supervision”. The training roster was submitted by Ms. Alverson on August 11, 2025, and the topic of the training, names and signatures of staff members who participated in the training was reviewed. Per the roster, thirty-eight (38) participated in the training. Seven (7) staff members were out for health-related reasons. The seven (7) staff members who were not present at the training must complete “Interactive Supervision” training when returned. Recorded version is acceptable. Please contact Ms. Alverson and discuss the alternative. When seven (7) staff members, if currently employed, complete the required training, this item will be considered complete. Stipulation #4: No plan has been submitted as of today. Ms. Lovelace is currently working on the plan and will submit it when completed. Stipulation #5: Not yet scheduled. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). K. Mauney's qualification letter expired on 8/4/25, and the re-application had not been submitted at the time of the visit. G.S. 110-90.2(b) & .2703(n)&(o) 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. A staff member who was hired on 5/12/25 did not complete First Aid training 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. A staff member who was hired on 5/12/25 did not complete CPR training within ninety (90) days of employment. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Two(2) staff member's valid qualification letters were not on file. One (1) staff member's (Date of employment- 5/27/25) letter was printed during the visit and filed. Staff member who was hired on 3/10/25 did not have a valid qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR Per Rule .1102(c)(d), new staff members must complete First Aid and CPR training within ninety (90) days of their employment date and maintain current certification thereafter. Since the staff person (SP) was hired on May 12, 2024, they must complete pediatric (infant/child) First Aid and CPR training no later than August 26, 2025 to remain in compliance. There are 3 openings on CPR/FA on August 16, 2025, from 9:00 am – 11:15 am in Asheville with the cost of $88. Another class is offered on August 20, 2025, from 9:00 am to 11:15 am in Hendersonville with the cost of $88. Please see https://www.redcross.org/take-a-class/cpr?latitude=35.5975104&longitude=-82.54605629999999&searchtype=class&zip=Asheville%2C%20NC%2C%20USA for details. Buncombe Partnership for Children offers CPR/FA training on September 2, 2025, from 5:30 pm to 7:30 pm. with the cost of $50. Please see details on https://buncombepfc.org/training/ 1044: Criminal background check renewal 1757: valid qualification letter on file DCDEE qualification letter must be renewed prior to its expiration date. Also, a valid qualification must be in the staff files at all times. D. Mendoza-Huerta must renew his/her criminal background check immediately on the ABCMS. He/she has up to fifteen (15) days to complete all required process and the letter to be issued. If he/she does not receive the qualification letter by August 27, 2025, he/she may not be present at the facility until the letter is issued. I strongly advise him/her to submit an application today. Once the qualification letter is issued, you shall print the letter and file it immediately. In your compliance letter, please state the date the letter was issued as well as the date the letter was filed. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/26/25. Please note that you have until 8/27/25 to correct item 1757, if necessary. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. The following questions are asked by staff members: Trash cans: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Per Rule .0604(v)(1–4), procedures are in place to reduce the spread of biological contaminants. You may choose the appropriate method to store or dispose of biocontaminants from the list below. When you are aware of viral or bacterial infections, consider removing contaminated items and take extra precautions to ensure that children do not have access to them. (v) In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. Evacuation of non-mobile children: You must review and follow your center’s procedures for non-ambulatory children as outlined in your program’s Emergency Preparedness and Response Plan. Carrying children during an evacuation is not recommended, as running individuals and potential tripping hazards along the evacuation path can increase the risk of injury. To ensure the safety of children, the use of evacuation devices that allow staff members to quickly load and transport children out of the area is recommended. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/12/2025 Number Present: 105 Completed Date: 8/12/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 08:43 AM Time Out: 02:58 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 visit was to monitor compliance during Administrative Action Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Grayson Crow, Enrollment Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Sandra Lovelace, Administrator, was available during the visit. Ms. Lovelace was temporarily out of her office during post-visit conference. Limited monitoring of child care requirements was conducted during today’s visit including but not limited to supervision and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The program operates with GS110-106 issued on 10/10/24 with restrictions, daytime care and children in care on ground level only. The program receives subsidies. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were observed during the visit. In space #1, a group of children were engaged in coloring activities. In space #3, nine (9) children participated in group time and listened to A Bad Case of Stripes. The children from spaces #5, #6, and #7 played on the playground using playground structures. In space #9, ten (10) children participated in group time, listening to a book and singing songs. In space #14, one (1) infant was asleep in a crib, one (1) was being bottle-fed, one (1) had a diaper change, one (1) was in a rocker, and one (1) was playing with toys. The transition process was monitored in multiple spaces. Ten (10) children from space #9 transitioned from the classroom to the playground, with a staff member calling each child’s name and number as they crossed each threshold, and two (2) staff members communicating to confirm total counts. Seven (7) children from space #7 transitioned from the playground to the bathroom, with the staff member touching each child’s head as they crossed the threshold and calling their name and number. Ten (10) children from space #8 transitioned from the bathroom to the playground; as each child finished using the bathroom, they lined up and sat in the hallway while one (1) staff member supervised inside the bathroom and another supervised in the hallway. Four (4) children from space #5 transitioned from the classroom to the playground, with each staff member holding two (2) children’s hands while names and counts were confirmed as they crossed the threshold. Ten (10) children from space #6 transitioned from the playground to the bathroom, and the transition process was observed to be adequate. A review of staff files was conducted, which included forty-four (44) existing staff files checked for criminal background letters and special training certificates. Two (2) new staff files were reviewed in full. Administrative Action: Administrative Action Written Warning was issued on June 19, 2025. The progress of the following corrective action was monitored: Stipulation #1: Supervision was monitored during today’s visit, and it was adequate. Stipulation #1 requirements were met during today’s visit. Stipulation #2: Stipulation #2 was met. Sandra Lovelace, Administrator, initially attempted to contact Stevie Alverson, Professional Development Coordinator, Buncombe Partnership for Children, via phone on July 1, 2025, to request technical assistance visit. Ms. Lovelace was able to speak to Ms. Alverson on July 7, 2025. Ms. Alverson visited the site on July 16, 2025. Per email communication with Ms. Alverson on the same day, she described supervision drill that involves imaginary children who randomly shows up on the roster in a classroom to ensure that the staff members are aware of the accurate counts of children and conduct an appropriate supervision procedure. Ms. Alverson also mentioned the use of ropes, name-to-face checks, out-loud counting through thresholds crossing. The technical assistance was provided by Ms. Alverson on potential hiding spots for children, subjects covered in staff meetings and training. Each classroom was monitored by Ms. Alverson. Stipulation #2 is completed. Stipulation #3: Ms. Lovelace discussed supervision training on July16, 2025 in-person with Ms. Alverson. The training was provided to staff members on August 8, 2025, and the title of the training was “Interactive Supervision”. The training roster was submitted by Ms. Alverson on August 11, 2025, and the topic of the training, names and signatures of staff members who participated in the training was reviewed. Per the roster, thirty-eight (38) participated in the training. Seven (7) staff members were out for health-related reasons. The seven (7) staff members who were not present at the training must complete “Interactive Supervision” training when returned. Recorded version is acceptable. Please contact Ms. Alverson and discuss the alternative. When seven (7) staff members, if currently employed, complete the required training, this item will be considered complete. Stipulation #4: No plan has been submitted as of today. Ms. Lovelace is currently working on the plan and will submit it when completed. Stipulation #5: Not yet scheduled. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). K. Mauney's qualification letter expired on 8/4/25, and the re-application had not been submitted at the time of the visit. G.S. 110-90.2(b) & .2703(n)&(o) 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. A staff member who was hired on 5/12/25 did not complete First Aid training 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. A staff member who was hired on 5/12/25 did not complete CPR training within ninety (90) days of employment. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Two(2) staff member's valid qualification letters were not on file. One (1) staff member's (Date of employment- 5/27/25) letter was printed during the visit and filed. Staff member who was hired on 3/10/25 did not have a valid qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR Per Rule .1102(c)(d), new staff members must complete First Aid and CPR training within ninety (90) days of their employment date and maintain current certification thereafter. Since the staff person (SP) was hired on May 12, 2024, they must complete pediatric (infant/child) First Aid and CPR training no later than August 26, 2025 to remain in compliance. There are 3 openings on CPR/FA on August 16, 2025, from 9:00 am – 11:15 am in Asheville with the cost of $88. Another class is offered on August 20, 2025, from 9:00 am to 11:15 am in Hendersonville with the cost of $88. Please see https://www.redcross.org/take-a-class/cpr?latitude=35.5975104&longitude=-82.54605629999999&searchtype=class&zip=Asheville%2C%20NC%2C%20USA for details. Buncombe Partnership for Children offers CPR/FA training on September 2, 2025, from 5:30 pm to 7:30 pm. with the cost of $50. Please see details on https://buncombepfc.org/training/ 1044: Criminal background check renewal 1757: valid qualification letter on file DCDEE qualification letter must be renewed prior to its expiration date. Also, a valid qualification must be in the staff files at all times. D. Mendoza-Huerta must renew his/her criminal background check immediately on the ABCMS. He/she has up to fifteen (15) days to complete all required process and the letter to be issued. If he/she does not receive the qualification letter by August 27, 2025, he/she may not be present at the facility until the letter is issued. I strongly advise him/her to submit an application today. Once the qualification letter is issued, you shall print the letter and file it immediately. In your compliance letter, please state the date the letter was issued as well as the date the letter was filed. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/26/25. Please note that you have until 8/27/25 to correct item 1757, if necessary. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. The following questions are asked by staff members: Trash cans: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Per Rule .0604(v)(1–4), procedures are in place to reduce the spread of biological contaminants. You may choose the appropriate method to store or dispose of biocontaminants from the list below. When you are aware of viral or bacterial infections, consider removing contaminated items and take extra precautions to ensure that children do not have access to them. (v) In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. Evacuation of non-mobile children: You must review and follow your center’s procedures for non-ambulatory children as outlined in your program’s Emergency Preparedness and Response Plan. Carrying children during an evacuation is not recommended, as running individuals and potential tripping hazards along the evacuation path can increase the risk of injury. To ensure the safety of children, the use of evacuation devices that allow staff members to quickly load and transport children out of the area is recommended. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

GS110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/12/2025 Number Present: 105 Completed Date: 8/12/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 08:43 AM Time Out: 02:58 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 visit was to monitor compliance during Administrative Action Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Grayson Crow, Enrollment Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Sandra Lovelace, Administrator, was available during the visit. Ms. Lovelace was temporarily out of her office during post-visit conference. Limited monitoring of child care requirements was conducted during today’s visit including but not limited to supervision and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The program operates with GS110-106 issued on 10/10/24 with restrictions, daytime care and children in care on ground level only. The program receives subsidies. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were observed during the visit. In space #1, a group of children were engaged in coloring activities. In space #3, nine (9) children participated in group time and listened to A Bad Case of Stripes. The children from spaces #5, #6, and #7 played on the playground using playground structures. In space #9, ten (10) children participated in group time, listening to a book and singing songs. In space #14, one (1) infant was asleep in a crib, one (1) was being bottle-fed, one (1) had a diaper change, one (1) was in a rocker, and one (1) was playing with toys. The transition process was monitored in multiple spaces. Ten (10) children from space #9 transitioned from the classroom to the playground, with a staff member calling each child’s name and number as they crossed each threshold, and two (2) staff members communicating to confirm total counts. Seven (7) children from space #7 transitioned from the playground to the bathroom, with the staff member touching each child’s head as they crossed the threshold and calling their name and number. Ten (10) children from space #8 transitioned from the bathroom to the playground; as each child finished using the bathroom, they lined up and sat in the hallway while one (1) staff member supervised inside the bathroom and another supervised in the hallway. Four (4) children from space #5 transitioned from the classroom to the playground, with each staff member holding two (2) children’s hands while names and counts were confirmed as they crossed the threshold. Ten (10) children from space #6 transitioned from the playground to the bathroom, and the transition process was observed to be adequate. A review of staff files was conducted, which included forty-four (44) existing staff files checked for criminal background letters and special training certificates. Two (2) new staff files were reviewed in full. Administrative Action: Administrative Action Written Warning was issued on June 19, 2025. The progress of the following corrective action was monitored: Stipulation #1: Supervision was monitored during today’s visit, and it was adequate. Stipulation #1 requirements were met during today’s visit. Stipulation #2: Stipulation #2 was met. Sandra Lovelace, Administrator, initially attempted to contact Stevie Alverson, Professional Development Coordinator, Buncombe Partnership for Children, via phone on July 1, 2025, to request technical assistance visit. Ms. Lovelace was able to speak to Ms. Alverson on July 7, 2025. Ms. Alverson visited the site on July 16, 2025. Per email communication with Ms. Alverson on the same day, she described supervision drill that involves imaginary children who randomly shows up on the roster in a classroom to ensure that the staff members are aware of the accurate counts of children and conduct an appropriate supervision procedure. Ms. Alverson also mentioned the use of ropes, name-to-face checks, out-loud counting through thresholds crossing. The technical assistance was provided by Ms. Alverson on potential hiding spots for children, subjects covered in staff meetings and training. Each classroom was monitored by Ms. Alverson. Stipulation #2 is completed. Stipulation #3: Ms. Lovelace discussed supervision training on July16, 2025 in-person with Ms. Alverson. The training was provided to staff members on August 8, 2025, and the title of the training was “Interactive Supervision”. The training roster was submitted by Ms. Alverson on August 11, 2025, and the topic of the training, names and signatures of staff members who participated in the training was reviewed. Per the roster, thirty-eight (38) participated in the training. Seven (7) staff members were out for health-related reasons. The seven (7) staff members who were not present at the training must complete “Interactive Supervision” training when returned. Recorded version is acceptable. Please contact Ms. Alverson and discuss the alternative. When seven (7) staff members, if currently employed, complete the required training, this item will be considered complete. Stipulation #4: No plan has been submitted as of today. Ms. Lovelace is currently working on the plan and will submit it when completed. Stipulation #5: Not yet scheduled. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). K. Mauney's qualification letter expired on 8/4/25, and the re-application had not been submitted at the time of the visit. G.S. 110-90.2(b) & .2703(n)&(o) 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. A staff member who was hired on 5/12/25 did not complete First Aid training 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. A staff member who was hired on 5/12/25 did not complete CPR training within ninety (90) days of employment. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Two(2) staff member's valid qualification letters were not on file. One (1) staff member's (Date of employment- 5/27/25) letter was printed during the visit and filed. Staff member who was hired on 3/10/25 did not have a valid qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR Per Rule .1102(c)(d), new staff members must complete First Aid and CPR training within ninety (90) days of their employment date and maintain current certification thereafter. Since the staff person (SP) was hired on May 12, 2024, they must complete pediatric (infant/child) First Aid and CPR training no later than August 26, 2025 to remain in compliance. There are 3 openings on CPR/FA on August 16, 2025, from 9:00 am – 11:15 am in Asheville with the cost of $88. Another class is offered on August 20, 2025, from 9:00 am to 11:15 am in Hendersonville with the cost of $88. Please see https://www.redcross.org/take-a-class/cpr?latitude=35.5975104&longitude=-82.54605629999999&searchtype=class&zip=Asheville%2C%20NC%2C%20USA for details. Buncombe Partnership for Children offers CPR/FA training on September 2, 2025, from 5:30 pm to 7:30 pm. with the cost of $50. Please see details on https://buncombepfc.org/training/ 1044: Criminal background check renewal 1757: valid qualification letter on file DCDEE qualification letter must be renewed prior to its expiration date. Also, a valid qualification must be in the staff files at all times. D. Mendoza-Huerta must renew his/her criminal background check immediately on the ABCMS. He/she has up to fifteen (15) days to complete all required process and the letter to be issued. If he/she does not receive the qualification letter by August 27, 2025, he/she may not be present at the facility until the letter is issued. I strongly advise him/her to submit an application today. Once the qualification letter is issued, you shall print the letter and file it immediately. In your compliance letter, please state the date the letter was issued as well as the date the letter was filed. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/26/25. Please note that you have until 8/27/25 to correct item 1757, if necessary. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. The following questions are asked by staff members: Trash cans: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Per Rule .0604(v)(1–4), procedures are in place to reduce the spread of biological contaminants. You may choose the appropriate method to store or dispose of biocontaminants from the list below. When you are aware of viral or bacterial infections, consider removing contaminated items and take extra precautions to ensure that children do not have access to them. (v) In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. Evacuation of non-mobile children: You must review and follow your center’s procedures for non-ambulatory children as outlined in your program’s Emergency Preparedness and Response Plan. Carrying children during an evacuation is not recommended, as running individuals and potential tripping hazards along the evacuation path can increase the risk of injury. To ensure the safety of children, the use of evacuation devices that allow staff members to quickly load and transport children out of the area is recommended. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/12/2025 Number Present: 105 Completed Date: 8/12/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 08:43 AM Time Out: 02:58 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 visit was to monitor compliance during Administrative Action Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Grayson Crow, Enrollment Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Sandra Lovelace, Administrator, was available during the visit. Ms. Lovelace was temporarily out of her office during post-visit conference. Limited monitoring of child care requirements was conducted during today’s visit including but not limited to supervision and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. The program operates with GS110-106 issued on 10/10/24 with restrictions, daytime care and children in care on ground level only. The program receives subsidies. Upon arrival, I announced my presence and the purpose of the visit. All classrooms were observed during the visit. In space #1, a group of children were engaged in coloring activities. In space #3, nine (9) children participated in group time and listened to A Bad Case of Stripes. The children from spaces #5, #6, and #7 played on the playground using playground structures. In space #9, ten (10) children participated in group time, listening to a book and singing songs. In space #14, one (1) infant was asleep in a crib, one (1) was being bottle-fed, one (1) had a diaper change, one (1) was in a rocker, and one (1) was playing with toys. The transition process was monitored in multiple spaces. Ten (10) children from space #9 transitioned from the classroom to the playground, with a staff member calling each child’s name and number as they crossed each threshold, and two (2) staff members communicating to confirm total counts. Seven (7) children from space #7 transitioned from the playground to the bathroom, with the staff member touching each child’s head as they crossed the threshold and calling their name and number. Ten (10) children from space #8 transitioned from the bathroom to the playground; as each child finished using the bathroom, they lined up and sat in the hallway while one (1) staff member supervised inside the bathroom and another supervised in the hallway. Four (4) children from space #5 transitioned from the classroom to the playground, with each staff member holding two (2) children’s hands while names and counts were confirmed as they crossed the threshold. Ten (10) children from space #6 transitioned from the playground to the bathroom, and the transition process was observed to be adequate. A review of staff files was conducted, which included forty-four (44) existing staff files checked for criminal background letters and special training certificates. Two (2) new staff files were reviewed in full. Administrative Action: Administrative Action Written Warning was issued on June 19, 2025. The progress of the following corrective action was monitored: Stipulation #1: Supervision was monitored during today’s visit, and it was adequate. Stipulation #1 requirements were met during today’s visit. Stipulation #2: Stipulation #2 was met. Sandra Lovelace, Administrator, initially attempted to contact Stevie Alverson, Professional Development Coordinator, Buncombe Partnership for Children, via phone on July 1, 2025, to request technical assistance visit. Ms. Lovelace was able to speak to Ms. Alverson on July 7, 2025. Ms. Alverson visited the site on July 16, 2025. Per email communication with Ms. Alverson on the same day, she described supervision drill that involves imaginary children who randomly shows up on the roster in a classroom to ensure that the staff members are aware of the accurate counts of children and conduct an appropriate supervision procedure. Ms. Alverson also mentioned the use of ropes, name-to-face checks, out-loud counting through thresholds crossing. The technical assistance was provided by Ms. Alverson on potential hiding spots for children, subjects covered in staff meetings and training. Each classroom was monitored by Ms. Alverson. Stipulation #2 is completed. Stipulation #3: Ms. Lovelace discussed supervision training on July16, 2025 in-person with Ms. Alverson. The training was provided to staff members on August 8, 2025, and the title of the training was “Interactive Supervision”. The training roster was submitted by Ms. Alverson on August 11, 2025, and the topic of the training, names and signatures of staff members who participated in the training was reviewed. Per the roster, thirty-eight (38) participated in the training. Seven (7) staff members were out for health-related reasons. The seven (7) staff members who were not present at the training must complete “Interactive Supervision” training when returned. Recorded version is acceptable. Please contact Ms. Alverson and discuss the alternative. When seven (7) staff members, if currently employed, complete the required training, this item will be considered complete. Stipulation #4: No plan has been submitted as of today. Ms. Lovelace is currently working on the plan and will submit it when completed. Stipulation #5: Not yet scheduled. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). K. Mauney's qualification letter expired on 8/4/25, and the re-application had not been submitted at the time of the visit. G.S. 110-90.2(b) & .2703(n)&(o) 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. A staff member who was hired on 5/12/25 did not complete First Aid training 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. A staff member who was hired on 5/12/25 did not complete CPR training within ninety (90) days of employment. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Two(2) staff member's valid qualification letters were not on file. One (1) staff member's (Date of employment- 5/27/25) letter was printed during the visit and filed. Staff member who was hired on 3/10/25 did not have a valid qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR Per Rule .1102(c)(d), new staff members must complete First Aid and CPR training within ninety (90) days of their employment date and maintain current certification thereafter. Since the staff person (SP) was hired on May 12, 2024, they must complete pediatric (infant/child) First Aid and CPR training no later than August 26, 2025 to remain in compliance. There are 3 openings on CPR/FA on August 16, 2025, from 9:00 am – 11:15 am in Asheville with the cost of $88. Another class is offered on August 20, 2025, from 9:00 am to 11:15 am in Hendersonville with the cost of $88. Please see https://www.redcross.org/take-a-class/cpr?latitude=35.5975104&longitude=-82.54605629999999&searchtype=class&zip=Asheville%2C%20NC%2C%20USA for details. Buncombe Partnership for Children offers CPR/FA training on September 2, 2025, from 5:30 pm to 7:30 pm. with the cost of $50. Please see details on https://buncombepfc.org/training/ 1044: Criminal background check renewal 1757: valid qualification letter on file DCDEE qualification letter must be renewed prior to its expiration date. Also, a valid qualification must be in the staff files at all times. D. Mendoza-Huerta must renew his/her criminal background check immediately on the ABCMS. He/she has up to fifteen (15) days to complete all required process and the letter to be issued. If he/she does not receive the qualification letter by August 27, 2025, he/she may not be present at the facility until the letter is issued. I strongly advise him/her to submit an application today. Once the qualification letter is issued, you shall print the letter and file it immediately. In your compliance letter, please state the date the letter was issued as well as the date the letter was filed. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/26/25. Please note that you have until 8/27/25 to correct item 1757, if necessary. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. The following questions are asked by staff members: Trash cans: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS Per Rule .0604(v)(1–4), procedures are in place to reduce the spread of biological contaminants. You may choose the appropriate method to store or dispose of biocontaminants from the list below. When you are aware of viral or bacterial infections, consider removing contaminated items and take extra precautions to ensure that children do not have access to them. (v) In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. Evacuation of non-mobile children: You must review and follow your center’s procedures for non-ambulatory children as outlined in your program’s Emergency Preparedness and Response Plan. Carrying children during an evacuation is not recommended, as running individuals and potential tripping hazards along the evacuation path can increase the risk of injury. To ensure the safety of children, the use of evacuation devices that allow staff members to quickly load and transport children out of the area is recommended. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .2201 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0625-254L Visit Date: 7/7/2025 Number Present: 98 Completed Date: 7/7/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a complaint visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Grayson Crow, Enrollment Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Crow was available during the visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The facility operates with G.S. 110-106. The Special Services/Restrictions include daytime care and children in care on ground level only. Upon arrival, I announced my presence and the purposes of the visit to Ms. Crow. Along with the complaint investigation, a review of Administrative Action initial review and the unannounced follow-up visit for the routine unannounced visit conducted on June 23, 2025, was also conducted during today’s visit. The findings for the Administrative Action and follow-ups are noted under comment section. The complaint was received by the Division of Child Development and Early Education on 6/24/25 and sent to me on the same day. There are concerns regarding staff/child ratios and group size. Based on the information obtained by the Division, staff members’ children are being cared for in the classrooms where enrolled children are present. As a result, up to thirty (30) children with two (2) staff members were present in a classroom on some days. Due to the date of the incident was not clear, attendance rosters were reviewed for the week of May 19, 2025, through May 23, 2025, in the classrooms where three-year-old children were enrolled. Attendance records were maintained electronically. Based on the attendance records shared by Ms. Crow, the number of children present in each classroom during the week of May 19, 2025, was as follows: • May 19, 2025: Nine (9) children were present in Space #5 (Room 408), and six (6) in Space #6 (Room 409) with two (2) staff members in each classroom. • May 20, 2025: Eight (8) in Space #5 and six (6) in Space #6 with two (2) staff members in each classroom. • May 21, 2025: Ten (10) in Space #5 and six (6) in Space #6 with two (2) staff members in each classroom. • May 22, 2025: Eleven (11) in Space #5 and six (6) in Space #6 with two (2) staff members in each classroom. • May 23, 2025: Seven (7) in Space #5 and five (5) in Space #6 with two (2) staff members in each classroom. All children in both classrooms were two (2) to three (3) years of age. The program has a policy that prohibits staff members from being alone with children, regardless of the number of children present. A minimum of two (2) staff members is required in each classroom in line with this policy. In case of staff shortage, classrooms are combined on some days. Some of the staff members were interviewed. All staff members who were interviewed today stated that they had never been out of ratios in their classrooms. The staff/child ratios for a group of children, with two-to-three-year-old children is 1:10 with maximum group size of twenty (20). For a group of children, three-to-four years of age, the staff/child ratio is 1:15 with a maximum group size of twenty-five (25). During today’s visit, all classrooms were observed for compliance with staff/child ratios and group size requirements. In accordance with the program’s policy, each classroom had two (2) to three (3) staff members present. All classrooms were within the required ratios and group sizes at the time of the visit. Space #1 (room 404) and space #6 (room 409) were closed due to staffing shortages and combined with other classrooms. Five (5) children from space #1 joined the group in space #3. A total of fifteen (15) children, four-to-five years of age, with three (3) staff members were present. Five (5) children in space #6 joined the children in space #5 (room 408) due to staffing shortage as well. A total of thirteen (13) children, two-to-three years of age, were present with three (3) staff members. Per interview with Ms. Crow, a total of twenty-six (26) children among twenty (20) staff members attend this program. All twenty-six (26) children are enrolled and assigned in the classrooms. No unenrolled children attended the program. Children in all classrooms were observed. The children are engaged in free play in the classrooms with materials, such as soft items, blocks, toy vehicles, etc. Infants and toddlers were on the floor with staff members and played with rattles, large Duplo blocks and soft dolls. On the playground, the children engaged in gross motor activities with playground structure, balls, riding toys, sand accessories, etc. Additional information on the playground structure was requested during the visit. Based on the information provided by Ms. Crow, the structure with slides, climbers, and a tunnel is aimed for children two (2) years of age and up, The information for the structure is maintained in a blinder. Based on the interview and program record, the allegation regarding staff/child ratio is unsubstantiated. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The cover page of the administrative action issued on June 19, 2025, was posted on the bulletin board near the entrance area, but the corrective action plan was not. 10A NCAC 09 .2201(i)(1-4) Technical assistance was provided as follows: 1948: Administrative action Upon receiving administrative action, a cover letter and corrective action plans must be posted near the entrance area. Refer to .2201(i)(1-4). This item was corrected during the visit. The whole administrative action was posted. Achieving Compliance: Due to all the violations being corrected during the visit, correction action plan for the violations cited during today’s visit does not need to be submitted. Administrative Action Initial visit: During the visit, I monitored the requirements for administrative action visits and reviewed the corrective action plans with Ms. Crow. Administrative Action was received by the program on June 23, 2025. Sandra Lovelace, Administrator, notified me via email on June 27, 2025, that the program would not submit an appeal for this action. I discussed the corrective action plans with Ms. Crow and asked for the documents I needed for each action item. CAP #1: The compliance for supervision was met during today’s visit. I observed transition processes in two (2) classrooms. Ten (10) children, all two (2) years of age, from Space #7 (room 410) transitioned from the bathroom to the playground. Before crossing the threshold into Space #17 (the multi-purpose room), the staff member leading the group conducted a name-to-face count. As each child crossed the threshold, the staff member counted aloud saying the number followed by the child’s name. At the exterior door, the same staff member performed a head count by gently touching each child’s head while counting out loud. This procedure was repeated as the children passed through the gate to the playground. Eight (8) children, all two (2) years of age, from Space #8 (Room 414) transitioned from the classroom to the bathroom. Once all the children were lined up at the door holding the rope, the staff member positioned at the back conducted a name-to-face count using a tablet. Accompanied by two (2) staff members, the children exited the classroom in line and proceeded to the boys’ bathroom. Before entering the bathroom, another name-to-face count was conducted in the hallway. Upon entering, the children were directed to sit on the bench, and once all children were inside, the door was closed. CAP #2: Per Ms. Crow, Ms. Lovelace contacted Stevie Alverson, Professional Development Coordinator at Buncombe Partnership for Children, via email. Ms. Alverson responded during today’s visit, and an initial technical assistance visit was scheduled on July 16, 2025. Unannounced visit follow-up: The following items were reviewed for correction. The violations were originally cited during a routine unannounced visit conducted on June 23, 2025. Corrected items: 319: Staff/child ratios Staff/child ratios posters were posted in each classroom. 508: special diet and allergy Allergy information was posted in space #6 (room 409). 528: Food substitution No substitutions were logged for the month of July thus far. Milk, granola, yogurt and berries were served for breakfast, and the items were accurately listed on the menu. 533: Beverages for children All beverages brought from home were labeled with the child’s names and today’s date. 540 & 541: Feeding plans for all children under fifteen (15) months of age in space #15 (room 422), space #14 (room 421) and space #13 (room 420) were posted and signed by the parents. 807: Safe environment The rest of the time was observed in all classrooms. No children’s faces were covered with their blankets, and the supervision during the rest time was adequate. 840: storage of hazardous products No hazardous products were accessible to the children during the visit. 841: medication storage Nystatin in space #7 was stored in a locked storage with a combination lock during the visit. 847: Medication authorization The authorization for Nystatin in space #7 was on the correct form. 849: Leftover medications The medication listed on the customization of item 849, including Aquaphor cream in space #7, Boudreaux’s Butt Past in space #13, Aveeno Eczema therapy in space #5 and Aquaphor cream in space #3 were not present. 851: Medication log The date and time of the administration of medication was saved in the Bright Wheel apps. Per information obtained, the medication was administered on March 12, 2025, at 2:15 pm. However, the person who administered it was not included in the information. The staff who administered the medication is no longer employed at this facility. The lead teacher in the classroom logged the information for March 12, 2025, and wrote the information. 1032: Medical Statement One (1) staff member’s medical statement was reviewed during today’s visit. The record was maintained in the staff member’s medical file. 1033: TB One (1) staff member’s TB record was reviewed during today’s visit. The record was available for review. 1035: Emergency information form One (1) staff member’s emergency information form was reviewed. The current form was maintained in the staff file. 1048 & 1049: First aid & CPR The following staff members’ certificates were verified in their staff files – Z. Flynn, M. Sangchai, C. Stewart. E. Fitzmaurice and D. Hoggs. C. Sales’ does not work during the summer time. If he/she returned, it will be September 2025. Prior to C. Sales return, please print the First Aid and CPR certificate and file it in the staff file. 1757: Criminal background qualification letters The qualification letters for M. Adams, L. Arrington, S. Pruitt, and L. Sprinkle were reviewed during today’s visit. S. Hefner’s qualification letter (provisional) was printed during the visit and placed in the file. 1811: Shelter-in-place drill A shelter-in-place drill was conducted on 6/30/25 per emergency drill log posted on the bulletin board. 1825: EPR plan review Six (6) staff files were partially reviewed for the documentation of the EPR plan review. All staff members had either orientation forms or an acknowledgement form to verify the review of the program’s EPR plan in their files. 1890: Medical report Three (3) staff members’ medical files were reviewed during today’s visit, and their medical statements were in their files. 1915: Wading pools No wading pools were used or observed on the premises during today’s visit. 9995: staff belongings No staff belongings, such as purses, were accessible to the children during today’s visit. They were stored in the cabinet above five (5) feet. All twenty-three (23) violations were verified corrected during today’s visit. Due to all violations were marked corrected by the consultant visit, no corrective action plans need to be submitted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0625-254L Visit Date: 7/7/2025 Number Present: 98 Completed Date: 7/7/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a complaint visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Grayson Crow, Enrollment Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Crow was available during the visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The facility operates with G.S. 110-106. The Special Services/Restrictions include daytime care and children in care on ground level only. Upon arrival, I announced my presence and the purposes of the visit to Ms. Crow. Along with the complaint investigation, a review of Administrative Action initial review and the unannounced follow-up visit for the routine unannounced visit conducted on June 23, 2025, was also conducted during today’s visit. The findings for the Administrative Action and follow-ups are noted under comment section. The complaint was received by the Division of Child Development and Early Education on 6/24/25 and sent to me on the same day. There are concerns regarding staff/child ratios and group size. Based on the information obtained by the Division, staff members’ children are being cared for in the classrooms where enrolled children are present. As a result, up to thirty (30) children with two (2) staff members were present in a classroom on some days. Due to the date of the incident was not clear, attendance rosters were reviewed for the week of May 19, 2025, through May 23, 2025, in the classrooms where three-year-old children were enrolled. Attendance records were maintained electronically. Based on the attendance records shared by Ms. Crow, the number of children present in each classroom during the week of May 19, 2025, was as follows: • May 19, 2025: Nine (9) children were present in Space #5 (Room 408), and six (6) in Space #6 (Room 409) with two (2) staff members in each classroom. • May 20, 2025: Eight (8) in Space #5 and six (6) in Space #6 with two (2) staff members in each classroom. • May 21, 2025: Ten (10) in Space #5 and six (6) in Space #6 with two (2) staff members in each classroom. • May 22, 2025: Eleven (11) in Space #5 and six (6) in Space #6 with two (2) staff members in each classroom. • May 23, 2025: Seven (7) in Space #5 and five (5) in Space #6 with two (2) staff members in each classroom. All children in both classrooms were two (2) to three (3) years of age. The program has a policy that prohibits staff members from being alone with children, regardless of the number of children present. A minimum of two (2) staff members is required in each classroom in line with this policy. In case of staff shortage, classrooms are combined on some days. Some of the staff members were interviewed. All staff members who were interviewed today stated that they had never been out of ratios in their classrooms. The staff/child ratios for a group of children, with two-to-three-year-old children is 1:10 with maximum group size of twenty (20). For a group of children, three-to-four years of age, the staff/child ratio is 1:15 with a maximum group size of twenty-five (25). During today’s visit, all classrooms were observed for compliance with staff/child ratios and group size requirements. In accordance with the program’s policy, each classroom had two (2) to three (3) staff members present. All classrooms were within the required ratios and group sizes at the time of the visit. Space #1 (room 404) and space #6 (room 409) were closed due to staffing shortages and combined with other classrooms. Five (5) children from space #1 joined the group in space #3. A total of fifteen (15) children, four-to-five years of age, with three (3) staff members were present. Five (5) children in space #6 joined the children in space #5 (room 408) due to staffing shortage as well. A total of thirteen (13) children, two-to-three years of age, were present with three (3) staff members. Per interview with Ms. Crow, a total of twenty-six (26) children among twenty (20) staff members attend this program. All twenty-six (26) children are enrolled and assigned in the classrooms. No unenrolled children attended the program. Children in all classrooms were observed. The children are engaged in free play in the classrooms with materials, such as soft items, blocks, toy vehicles, etc. Infants and toddlers were on the floor with staff members and played with rattles, large Duplo blocks and soft dolls. On the playground, the children engaged in gross motor activities with playground structure, balls, riding toys, sand accessories, etc. Additional information on the playground structure was requested during the visit. Based on the information provided by Ms. Crow, the structure with slides, climbers, and a tunnel is aimed for children two (2) years of age and up, The information for the structure is maintained in a blinder. Based on the interview and program record, the allegation regarding staff/child ratio is unsubstantiated. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The cover page of the administrative action issued on June 19, 2025, was posted on the bulletin board near the entrance area, but the corrective action plan was not. 10A NCAC 09 .2201(i)(1-4) Technical assistance was provided as follows: 1948: Administrative action Upon receiving administrative action, a cover letter and corrective action plans must be posted near the entrance area. Refer to .2201(i)(1-4). This item was corrected during the visit. The whole administrative action was posted. Achieving Compliance: Due to all the violations being corrected during the visit, correction action plan for the violations cited during today’s visit does not need to be submitted. Administrative Action Initial visit: During the visit, I monitored the requirements for administrative action visits and reviewed the corrective action plans with Ms. Crow. Administrative Action was received by the program on June 23, 2025. Sandra Lovelace, Administrator, notified me via email on June 27, 2025, that the program would not submit an appeal for this action. I discussed the corrective action plans with Ms. Crow and asked for the documents I needed for each action item. CAP #1: The compliance for supervision was met during today’s visit. I observed transition processes in two (2) classrooms. Ten (10) children, all two (2) years of age, from Space #7 (room 410) transitioned from the bathroom to the playground. Before crossing the threshold into Space #17 (the multi-purpose room), the staff member leading the group conducted a name-to-face count. As each child crossed the threshold, the staff member counted aloud saying the number followed by the child’s name. At the exterior door, the same staff member performed a head count by gently touching each child’s head while counting out loud. This procedure was repeated as the children passed through the gate to the playground. Eight (8) children, all two (2) years of age, from Space #8 (Room 414) transitioned from the classroom to the bathroom. Once all the children were lined up at the door holding the rope, the staff member positioned at the back conducted a name-to-face count using a tablet. Accompanied by two (2) staff members, the children exited the classroom in line and proceeded to the boys’ bathroom. Before entering the bathroom, another name-to-face count was conducted in the hallway. Upon entering, the children were directed to sit on the bench, and once all children were inside, the door was closed. CAP #2: Per Ms. Crow, Ms. Lovelace contacted Stevie Alverson, Professional Development Coordinator at Buncombe Partnership for Children, via email. Ms. Alverson responded during today’s visit, and an initial technical assistance visit was scheduled on July 16, 2025. Unannounced visit follow-up: The following items were reviewed for correction. The violations were originally cited during a routine unannounced visit conducted on June 23, 2025. Corrected items: 319: Staff/child ratios Staff/child ratios posters were posted in each classroom. 508: special diet and allergy Allergy information was posted in space #6 (room 409). 528: Food substitution No substitutions were logged for the month of July thus far. Milk, granola, yogurt and berries were served for breakfast, and the items were accurately listed on the menu. 533: Beverages for children All beverages brought from home were labeled with the child’s names and today’s date. 540 & 541: Feeding plans for all children under fifteen (15) months of age in space #15 (room 422), space #14 (room 421) and space #13 (room 420) were posted and signed by the parents. 807: Safe environment The rest of the time was observed in all classrooms. No children’s faces were covered with their blankets, and the supervision during the rest time was adequate. 840: storage of hazardous products No hazardous products were accessible to the children during the visit. 841: medication storage Nystatin in space #7 was stored in a locked storage with a combination lock during the visit. 847: Medication authorization The authorization for Nystatin in space #7 was on the correct form. 849: Leftover medications The medication listed on the customization of item 849, including Aquaphor cream in space #7, Boudreaux’s Butt Past in space #13, Aveeno Eczema therapy in space #5 and Aquaphor cream in space #3 were not present. 851: Medication log The date and time of the administration of medication was saved in the Bright Wheel apps. Per information obtained, the medication was administered on March 12, 2025, at 2:15 pm. However, the person who administered it was not included in the information. The staff who administered the medication is no longer employed at this facility. The lead teacher in the classroom logged the information for March 12, 2025, and wrote the information. 1032: Medical Statement One (1) staff member’s medical statement was reviewed during today’s visit. The record was maintained in the staff member’s medical file. 1033: TB One (1) staff member’s TB record was reviewed during today’s visit. The record was available for review. 1035: Emergency information form One (1) staff member’s emergency information form was reviewed. The current form was maintained in the staff file. 1048 & 1049: First aid & CPR The following staff members’ certificates were verified in their staff files – Z. Flynn, M. Sangchai, C. Stewart. E. Fitzmaurice and D. Hoggs. C. Sales’ does not work during the summer time. If he/she returned, it will be September 2025. Prior to C. Sales return, please print the First Aid and CPR certificate and file it in the staff file. 1757: Criminal background qualification letters The qualification letters for M. Adams, L. Arrington, S. Pruitt, and L. Sprinkle were reviewed during today’s visit. S. Hefner’s qualification letter (provisional) was printed during the visit and placed in the file. 1811: Shelter-in-place drill A shelter-in-place drill was conducted on 6/30/25 per emergency drill log posted on the bulletin board. 1825: EPR plan review Six (6) staff files were partially reviewed for the documentation of the EPR plan review. All staff members had either orientation forms or an acknowledgement form to verify the review of the program’s EPR plan in their files. 1890: Medical report Three (3) staff members’ medical files were reviewed during today’s visit, and their medical statements were in their files. 1915: Wading pools No wading pools were used or observed on the premises during today’s visit. 9995: staff belongings No staff belongings, such as purses, were accessible to the children during today’s visit. They were stored in the cabinet above five (5) feet. All twenty-three (23) violations were verified corrected during today’s visit. Due to all violations were marked corrected by the consultant visit, no corrective action plans need to be submitted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .0601 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2025 Number Present: 112 Completed Date: 6/23/2025 Age: From 0 To 12 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A hand-written visit summary was created during the visit due to time constraints created by the numbers of new staff files as well as numbers of violations cited during today's visit. The hand-written summary was reviewed and signed by Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator during the visit. A computerized generated report of today’s visit was created at HQ on the same day. Additional details were added in the computerized generated visit summary. Ms. Lovelace was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. Permit type – G.S. 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 6/9/25. The last shelter-in-place drill was practiced on 2/27/25. The last playground inspection was documented on 6/2/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/19/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 12/11/23 with potential hazards. Lead paint and asbestos testing was completed on 8/14/24 and the building was exempt. Upon arrival, I announce my presence and the purpose of the visit. Children were observed in all classrooms. In space #1, a group of six (6) children, four-to-five years of age, had cereal, cut cantaloupes, and milk for breakfast. Cereal, oranges and milk were listed on the menu posted in the lobby area. In space #2, a group of thirteen (13) children were present with two (2) staff members and two (2) volunteers. The children were attending summer camp at this site. One (1) of the children, a five (5) year old rising Kindergartener, was moved to the preschool during the day. The summer camp was intended for school-age children, five (5) to twelve (12) years old. The rising Kindergartener was enrolled mistakenly in the summer camp. Per Ms. Lovelace, the summer camp is not operated by the licensed preschool program. To transfer the rising Kindergartener to the preschool program, the child’s file information had to be transferred accordingly. According to Ms. Lovelace, the application used for both the summer camp and the preschool program is the same. I observed the transition procedures in space #3. The staff members conducted a name-to-face count prior to exiting the classroom. One (1) support staff member assisted with the transition. As the children crossed the threshold, the support staff member counted them by pointing at each child without directly touching them. In space #8, a group of twelve (12) children, two (2) years of age, were present in the classroom. The children engaged in free play with dress up clothes, pretend food, a climber, magnetic tiles and other materials. In space #9, a group of nine (9) children, one-to-two years of age, explored the environment. They carried instruments and rattles around the classroom. Water play was conducted for infant classrooms during the visit. The children in space #13, #14, and #15 played with splash pad. Non-mobile children were placed on the chairs. Two (2) wading pools were accessible to the children. The depth of water in one (1) of the wading pools were approximately five (5) inches. The depth of water in the other equipment was approximately six (6) inches. This equipment could be used for sandbox, but it was used as wading pool. No infants were observed in either of the wading pools, but they were easily accessible. Prescription medications and over-the-counter creams/sprays were monitored. In space #3, an inhaler was maintained appropriately with action plan and authorization form. However, the medication log had a checkmark on 3/12/25 with no other information. In space #7, one (1) prescription ointment/cream was maintained in the plastic container on top shelf, and the cabinet was not locked. One (1) prescription was maintained in the walk-in refrigerator in the kitchen. The action plan and authorization form were valid. Lunch was served during the visit: sliced sausages and pasta in Alfredo sauce, sliced cucumbers, pineapples, and milk. I observed mealtime in space #11. Three (3) children brought meals from home. In space #11, one (1) child under twelve (12) months of age was present. The child was served the same food as the others. No feeding plan was posted. The infant reached out to the ranch dressing, touched it with their hands, and began licking their hands. One (1) staff member then sat next to the child and assisted with feeding. The sausages were removed from the pasta after the child had already been served and had begun eating the meal. The sausage pieces were approximately two (2) cm wide, one point five (1.5) cm in depth and five (5) mm thick. Rest time was observed in all classrooms except for space #3. Across fifteen (15) classrooms, thirteen (13) children had their faces partially or fully covered by their blankets. Infant sleep charts were logged in the app. The infant in space #11 was not asleep on the cot but was playing with a scarf and four (4) pretend animals. No blanket was provided to the child. Four (4) children in space #13 used sleep sacks requested by the parent. The playgrounds were monitored and no safety hazards were found. Thirty-three (33) existing files were reviewed for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates for those who are required to have. Twenty-one (21) new staff files were partially monitored. Due to not all file monitoring was completed, a follow-up visit may be conducted. During the follow-up visit, additional violations may be cited. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio sheet was not posted in room #418. .0713(a)(10), (c) & (f)(3); .2818(e) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts. .0901(g) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu. 10A NCAC 09 .0901(b) 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. In room #422, one (1) child's bottles were not dated. In #420, one (1) child's bottles were labeled with the dates, June 20. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child's feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In room #422, one (1) child's feeding plan was not signed by the parent. Also in room #419, one (1) child's feeding plan was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Across fifteen (15) classrooms, a total of thirteen (13) children's faces were covered by their blankets fully or partially but were not removed from their face by the staff members. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux's Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included. .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member, LP, who was hired on 6/2/25, did not have medical report in the file. 10A NCAC 09 .0701(a) 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. A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division's website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation. .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. One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file. .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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25). G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was completed on 2/27/25. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25). .0701(d) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. Wading pools were accessible and offered to infants during water play. .1403(b)(1-5) 9995 Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter. Technical assistance was provided as follows: 319: staff/child ratio sheet Staff/child ratio sheet must be posted in each classroom and licensed space. In most classrooms, the staff/child ratio sheet was posted but no information was filled out. In room #408, a voluntary enhanced ratio was checked. Please review the staff/child ratio sheet in all classrooms and write/check the correct information. The program goes by the minimum staff/child ratios. 508: allergy information Allergy information and special diet must be posted in the eating area. Refer to .0901(g). Allergy information must be easily visible in each classroom to prevent food-based allergic reaction. Many staff members rather than regular classroom teachers goes in and out of each classroom at your facility. Please make sure that all staff members are aware of the location of the information sheet in each classroom and follow the directions. 528: substitution When substitution items are served for meals and snacks, the item(s) must be recorded on the menu prior to serving the children. Refer to .0901(b). Parents must be informed of the changes in their child's meals. You must correct the menu prior to serving children. 533: bottles Children’s bottles must be accurately labeled with the child’s name and the date. Upon arrival, please make sure that all bottles are accurately labeled with the child’s name and the date. If not, please make the correction as needed. Refer to 15A NCAC 18A .2804(d). Labeling correct information, including the child's name and the date it was prepared prevents food-born illnesses and errors. Each morning, staff members shall inspect each child's bottles and make necessary corrections. 540 & 541: Feeding plans Feeding plans are required for all children under fifteen (15) months old. The plans must be signed by the parent and be posted in the classroom. Refer to .0902(a). Please obtain the signature for parents and post the plans for all children under fifteen (15) months of age, in space #9, #10, #11, #12, #13, #14 and #15. Feeding plans are the guide to the staff members. If the feeding plans do not match what children are being fed, the plan must be updated. 608: Hand Washing Children’s hands must be washed with soap and water after each diaper change. Refer to 15A NCAC .2803(c). If an infant is unable to hold his/her head, you can still wash his/her hands by laying the child in one arm and switch to the other side. Follow the guidance on the diaper changing chart in your classroom. 807: Safe environment When children’s faces are covered by blankets fully or partially, the staff members must remove the blanket off their faces for adequate supervision during nap time. Refer to .0601(a). All preschool children needs to be monitored during rest time. Upon checking each child, the child's face must be reviewed for breathing and change in color. Monitoring each child's chest movements are also effective. In order to monitor the colors of face and lips, you must make sure that their whole faces are visible. 840: Storage of hazardous materials Aerosol cans must be stored in a locked storage or removed from the classroom so that the items are not accessible to the children. Lockbox are effective storage to store those items. However, the box must be actually locked. Refer to 15 NCAC 18A .2820(d). The keys to the lock shall not remain on the lock, and the numbers on the combination shall be changed upon locking the box. Otherwise, they are not considered locked. 841: medication storage Non-emergency prescription items must be stored in a locked storage. Refer to 15A NCAC .2820(d). Please removed the Nystatin from the plastic box in room #410 and store it in a locked box. 847: Medication authorization form Medication authorization forms must be valid. Please make sure that the parents fill out the entire form, including the accurate name of the product, signature and date. All authorization form must be renewed before the expiration date. No staff members shall apply the cream when the authorization form is expired until the parents submit the new one. 849: expired medication All expired medications, including over-the-counter creams and sprays must be sent home or discarded within seventy-two (72) hours of expiration dates. Please remove the expired creams and sprays from the classroom and return them to the parents. 851: Medication logs When prescription or over-the-counter medication is administered, the following information must be recorded. Over-the-counter creams and sprays do not require the log. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a)the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. I recommend you use the form you can access and print on the Division's website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. In the form from the Division, all the required information is included. 1048: First Aid & 1049: CPR First aid and CPR certificates must be obtained within ninety (90) days of employment and renewed thereafter without lapse. Refer to .1102(c). To be compliance with this item, the certification for the training must be maintained in the file. 1811: Shelter-in-place drill A shelter-in-place or a lockdown drill must be conducted every three (3) months. Refer to .0604(u). You must complete the shelter-in-place drill immediately. 1825: EPR review The program’s EPR plan must be reviewed with staff members upon initial hiring and annually, and the documentation of the review must be maintained. Refer to .0607(f). Make sure that staff members fill out the form entirely including the date (day, month and year) of the review. 1915: Wading Pool Wading pools or any other equipment that holds water to meet the purpose of wading pool is prohibited. Refer to .1403(b) (1-5). Immediately remove the wading pools and make sure that they are not accessible to the children. 9995: storage of staff members’ belongings Staff members’ belongings must be inaccessible to the children. It does not have to stored in a locked storage. However, they must be stored at least five (5) feet above or cabinet with baby proof devices. Refer to 15A NCAC 18A .2826(f). New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Due to sixteen (16) or more violation, a follow-up visit will be conducted. Additionally, you may be warranted administrative action. 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed administrative action. I explained the appeal process, initial administrative action visit and follow-up visits. Reminders: Albuterol inhaler will expire in August 2025 in room #406. Parent's choice diaper rash cream in room #410 will expire in August 2025. Aveeno Eczema therapy will expire in August 2025 in room #416. Boudreaux's Butt paste will expire in July 2025 in room #419. Boudreaux's Butt paste and Aquaphor will expire in July 2025 in room #417. Boudreaux's Butt Paste will expire in August 2025 in room #422. Boudreaux's Butt Paste will expire in July 2025, in room #418. Evacuation crib: Nothing should be stored in evacuation cribs so that they are ready for use anytime an emergency occurs. Sleep sacks: sleep sacks maybe used for infants, but not anything that swaddles. Weighted sleep sacks shall be avoided. AAP considered weighted sleep sacks are unsafe and increase the chance of SIDS. Please consider not over bundling. Over bundling could lead to overheating which is another risk for SIDS. Removal of licensed space: The children at your facility cannot use the same space as children in unlicensed program at the same time. Simply, the children enrolled in summer camp cannot use the licensed space during operating hours. Ms. Lovelace and I discussed this matter for the use of room #405 by the children enrolled in summer camp not operated by the program. Based on the conversation, Ms. Lovelace emailed me during the visit and requested the room #405 to be removed from the licensed space. Based on the request, space #2 is removed from the licensed space effective June 23, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. 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 .0901 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2025 Number Present: 112 Completed Date: 6/23/2025 Age: From 0 To 12 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A hand-written visit summary was created during the visit due to time constraints created by the numbers of new staff files as well as numbers of violations cited during today's visit. The hand-written summary was reviewed and signed by Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator during the visit. A computerized generated report of today’s visit was created at HQ on the same day. Additional details were added in the computerized generated visit summary. Ms. Lovelace was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. Permit type – G.S. 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 6/9/25. The last shelter-in-place drill was practiced on 2/27/25. The last playground inspection was documented on 6/2/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/19/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 12/11/23 with potential hazards. Lead paint and asbestos testing was completed on 8/14/24 and the building was exempt. Upon arrival, I announce my presence and the purpose of the visit. Children were observed in all classrooms. In space #1, a group of six (6) children, four-to-five years of age, had cereal, cut cantaloupes, and milk for breakfast. Cereal, oranges and milk were listed on the menu posted in the lobby area. In space #2, a group of thirteen (13) children were present with two (2) staff members and two (2) volunteers. The children were attending summer camp at this site. One (1) of the children, a five (5) year old rising Kindergartener, was moved to the preschool during the day. The summer camp was intended for school-age children, five (5) to twelve (12) years old. The rising Kindergartener was enrolled mistakenly in the summer camp. Per Ms. Lovelace, the summer camp is not operated by the licensed preschool program. To transfer the rising Kindergartener to the preschool program, the child’s file information had to be transferred accordingly. According to Ms. Lovelace, the application used for both the summer camp and the preschool program is the same. I observed the transition procedures in space #3. The staff members conducted a name-to-face count prior to exiting the classroom. One (1) support staff member assisted with the transition. As the children crossed the threshold, the support staff member counted them by pointing at each child without directly touching them. In space #8, a group of twelve (12) children, two (2) years of age, were present in the classroom. The children engaged in free play with dress up clothes, pretend food, a climber, magnetic tiles and other materials. In space #9, a group of nine (9) children, one-to-two years of age, explored the environment. They carried instruments and rattles around the classroom. Water play was conducted for infant classrooms during the visit. The children in space #13, #14, and #15 played with splash pad. Non-mobile children were placed on the chairs. Two (2) wading pools were accessible to the children. The depth of water in one (1) of the wading pools were approximately five (5) inches. The depth of water in the other equipment was approximately six (6) inches. This equipment could be used for sandbox, but it was used as wading pool. No infants were observed in either of the wading pools, but they were easily accessible. Prescription medications and over-the-counter creams/sprays were monitored. In space #3, an inhaler was maintained appropriately with action plan and authorization form. However, the medication log had a checkmark on 3/12/25 with no other information. In space #7, one (1) prescription ointment/cream was maintained in the plastic container on top shelf, and the cabinet was not locked. One (1) prescription was maintained in the walk-in refrigerator in the kitchen. The action plan and authorization form were valid. Lunch was served during the visit: sliced sausages and pasta in Alfredo sauce, sliced cucumbers, pineapples, and milk. I observed mealtime in space #11. Three (3) children brought meals from home. In space #11, one (1) child under twelve (12) months of age was present. The child was served the same food as the others. No feeding plan was posted. The infant reached out to the ranch dressing, touched it with their hands, and began licking their hands. One (1) staff member then sat next to the child and assisted with feeding. The sausages were removed from the pasta after the child had already been served and had begun eating the meal. The sausage pieces were approximately two (2) cm wide, one point five (1.5) cm in depth and five (5) mm thick. Rest time was observed in all classrooms except for space #3. Across fifteen (15) classrooms, thirteen (13) children had their faces partially or fully covered by their blankets. Infant sleep charts were logged in the app. The infant in space #11 was not asleep on the cot but was playing with a scarf and four (4) pretend animals. No blanket was provided to the child. Four (4) children in space #13 used sleep sacks requested by the parent. The playgrounds were monitored and no safety hazards were found. Thirty-three (33) existing files were reviewed for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates for those who are required to have. Twenty-one (21) new staff files were partially monitored. Due to not all file monitoring was completed, a follow-up visit may be conducted. During the follow-up visit, additional violations may be cited. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio sheet was not posted in room #418. .0713(a)(10), (c) & (f)(3); .2818(e) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts. .0901(g) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu. 10A NCAC 09 .0901(b) 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. In room #422, one (1) child's bottles were not dated. In #420, one (1) child's bottles were labeled with the dates, June 20. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child's feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In room #422, one (1) child's feeding plan was not signed by the parent. Also in room #419, one (1) child's feeding plan was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Across fifteen (15) classrooms, a total of thirteen (13) children's faces were covered by their blankets fully or partially but were not removed from their face by the staff members. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux's Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included. .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member, LP, who was hired on 6/2/25, did not have medical report in the file. 10A NCAC 09 .0701(a) 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. A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division's website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation. .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. One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file. .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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25). G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was completed on 2/27/25. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25). .0701(d) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. Wading pools were accessible and offered to infants during water play. .1403(b)(1-5) 9995 Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter. Technical assistance was provided as follows: 319: staff/child ratio sheet Staff/child ratio sheet must be posted in each classroom and licensed space. In most classrooms, the staff/child ratio sheet was posted but no information was filled out. In room #408, a voluntary enhanced ratio was checked. Please review the staff/child ratio sheet in all classrooms and write/check the correct information. The program goes by the minimum staff/child ratios. 508: allergy information Allergy information and special diet must be posted in the eating area. Refer to .0901(g). Allergy information must be easily visible in each classroom to prevent food-based allergic reaction. Many staff members rather than regular classroom teachers goes in and out of each classroom at your facility. Please make sure that all staff members are aware of the location of the information sheet in each classroom and follow the directions. 528: substitution When substitution items are served for meals and snacks, the item(s) must be recorded on the menu prior to serving the children. Refer to .0901(b). Parents must be informed of the changes in their child's meals. You must correct the menu prior to serving children. 533: bottles Children’s bottles must be accurately labeled with the child’s name and the date. Upon arrival, please make sure that all bottles are accurately labeled with the child’s name and the date. If not, please make the correction as needed. Refer to 15A NCAC 18A .2804(d). Labeling correct information, including the child's name and the date it was prepared prevents food-born illnesses and errors. Each morning, staff members shall inspect each child's bottles and make necessary corrections. 540 & 541: Feeding plans Feeding plans are required for all children under fifteen (15) months old. The plans must be signed by the parent and be posted in the classroom. Refer to .0902(a). Please obtain the signature for parents and post the plans for all children under fifteen (15) months of age, in space #9, #10, #11, #12, #13, #14 and #15. Feeding plans are the guide to the staff members. If the feeding plans do not match what children are being fed, the plan must be updated. 608: Hand Washing Children’s hands must be washed with soap and water after each diaper change. Refer to 15A NCAC .2803(c). If an infant is unable to hold his/her head, you can still wash his/her hands by laying the child in one arm and switch to the other side. Follow the guidance on the diaper changing chart in your classroom. 807: Safe environment When children’s faces are covered by blankets fully or partially, the staff members must remove the blanket off their faces for adequate supervision during nap time. Refer to .0601(a). All preschool children needs to be monitored during rest time. Upon checking each child, the child's face must be reviewed for breathing and change in color. Monitoring each child's chest movements are also effective. In order to monitor the colors of face and lips, you must make sure that their whole faces are visible. 840: Storage of hazardous materials Aerosol cans must be stored in a locked storage or removed from the classroom so that the items are not accessible to the children. Lockbox are effective storage to store those items. However, the box must be actually locked. Refer to 15 NCAC 18A .2820(d). The keys to the lock shall not remain on the lock, and the numbers on the combination shall be changed upon locking the box. Otherwise, they are not considered locked. 841: medication storage Non-emergency prescription items must be stored in a locked storage. Refer to 15A NCAC .2820(d). Please removed the Nystatin from the plastic box in room #410 and store it in a locked box. 847: Medication authorization form Medication authorization forms must be valid. Please make sure that the parents fill out the entire form, including the accurate name of the product, signature and date. All authorization form must be renewed before the expiration date. No staff members shall apply the cream when the authorization form is expired until the parents submit the new one. 849: expired medication All expired medications, including over-the-counter creams and sprays must be sent home or discarded within seventy-two (72) hours of expiration dates. Please remove the expired creams and sprays from the classroom and return them to the parents. 851: Medication logs When prescription or over-the-counter medication is administered, the following information must be recorded. Over-the-counter creams and sprays do not require the log. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a)the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. I recommend you use the form you can access and print on the Division's website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. In the form from the Division, all the required information is included. 1048: First Aid & 1049: CPR First aid and CPR certificates must be obtained within ninety (90) days of employment and renewed thereafter without lapse. Refer to .1102(c). To be compliance with this item, the certification for the training must be maintained in the file. 1811: Shelter-in-place drill A shelter-in-place or a lockdown drill must be conducted every three (3) months. Refer to .0604(u). You must complete the shelter-in-place drill immediately. 1825: EPR review The program’s EPR plan must be reviewed with staff members upon initial hiring and annually, and the documentation of the review must be maintained. Refer to .0607(f). Make sure that staff members fill out the form entirely including the date (day, month and year) of the review. 1915: Wading Pool Wading pools or any other equipment that holds water to meet the purpose of wading pool is prohibited. Refer to .1403(b) (1-5). Immediately remove the wading pools and make sure that they are not accessible to the children. 9995: storage of staff members’ belongings Staff members’ belongings must be inaccessible to the children. It does not have to stored in a locked storage. However, they must be stored at least five (5) feet above or cabinet with baby proof devices. Refer to 15A NCAC 18A .2826(f). New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Due to sixteen (16) or more violation, a follow-up visit will be conducted. Additionally, you may be warranted administrative action. 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed administrative action. I explained the appeal process, initial administrative action visit and follow-up visits. Reminders: Albuterol inhaler will expire in August 2025 in room #406. Parent's choice diaper rash cream in room #410 will expire in August 2025. Aveeno Eczema therapy will expire in August 2025 in room #416. Boudreaux's Butt paste will expire in July 2025 in room #419. Boudreaux's Butt paste and Aquaphor will expire in July 2025 in room #417. Boudreaux's Butt Paste will expire in August 2025 in room #422. Boudreaux's Butt Paste will expire in July 2025, in room #418. Evacuation crib: Nothing should be stored in evacuation cribs so that they are ready for use anytime an emergency occurs. Sleep sacks: sleep sacks maybe used for infants, but not anything that swaddles. Weighted sleep sacks shall be avoided. AAP considered weighted sleep sacks are unsafe and increase the chance of SIDS. Please consider not over bundling. Over bundling could lead to overheating which is another risk for SIDS. Removal of licensed space: The children at your facility cannot use the same space as children in unlicensed program at the same time. Simply, the children enrolled in summer camp cannot use the licensed space during operating hours. Ms. Lovelace and I discussed this matter for the use of room #405 by the children enrolled in summer camp not operated by the program. Based on the conversation, Ms. Lovelace emailed me during the visit and requested the room #405 to be removed from the licensed space. Based on the request, space #2 is removed from the licensed space effective June 23, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. 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: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2025 Number Present: 112 Completed Date: 6/23/2025 Age: From 0 To 12 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A hand-written visit summary was created during the visit due to time constraints created by the numbers of new staff files as well as numbers of violations cited during today's visit. The hand-written summary was reviewed and signed by Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator during the visit. A computerized generated report of today’s visit was created at HQ on the same day. Additional details were added in the computerized generated visit summary. Ms. Lovelace was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. Permit type – G.S. 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 6/9/25. The last shelter-in-place drill was practiced on 2/27/25. The last playground inspection was documented on 6/2/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/19/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 12/11/23 with potential hazards. Lead paint and asbestos testing was completed on 8/14/24 and the building was exempt. Upon arrival, I announce my presence and the purpose of the visit. Children were observed in all classrooms. In space #1, a group of six (6) children, four-to-five years of age, had cereal, cut cantaloupes, and milk for breakfast. Cereal, oranges and milk were listed on the menu posted in the lobby area. In space #2, a group of thirteen (13) children were present with two (2) staff members and two (2) volunteers. The children were attending summer camp at this site. One (1) of the children, a five (5) year old rising Kindergartener, was moved to the preschool during the day. The summer camp was intended for school-age children, five (5) to twelve (12) years old. The rising Kindergartener was enrolled mistakenly in the summer camp. Per Ms. Lovelace, the summer camp is not operated by the licensed preschool program. To transfer the rising Kindergartener to the preschool program, the child’s file information had to be transferred accordingly. According to Ms. Lovelace, the application used for both the summer camp and the preschool program is the same. I observed the transition procedures in space #3. The staff members conducted a name-to-face count prior to exiting the classroom. One (1) support staff member assisted with the transition. As the children crossed the threshold, the support staff member counted them by pointing at each child without directly touching them. In space #8, a group of twelve (12) children, two (2) years of age, were present in the classroom. The children engaged in free play with dress up clothes, pretend food, a climber, magnetic tiles and other materials. In space #9, a group of nine (9) children, one-to-two years of age, explored the environment. They carried instruments and rattles around the classroom. Water play was conducted for infant classrooms during the visit. The children in space #13, #14, and #15 played with splash pad. Non-mobile children were placed on the chairs. Two (2) wading pools were accessible to the children. The depth of water in one (1) of the wading pools were approximately five (5) inches. The depth of water in the other equipment was approximately six (6) inches. This equipment could be used for sandbox, but it was used as wading pool. No infants were observed in either of the wading pools, but they were easily accessible. Prescription medications and over-the-counter creams/sprays were monitored. In space #3, an inhaler was maintained appropriately with action plan and authorization form. However, the medication log had a checkmark on 3/12/25 with no other information. In space #7, one (1) prescription ointment/cream was maintained in the plastic container on top shelf, and the cabinet was not locked. One (1) prescription was maintained in the walk-in refrigerator in the kitchen. The action plan and authorization form were valid. Lunch was served during the visit: sliced sausages and pasta in Alfredo sauce, sliced cucumbers, pineapples, and milk. I observed mealtime in space #11. Three (3) children brought meals from home. In space #11, one (1) child under twelve (12) months of age was present. The child was served the same food as the others. No feeding plan was posted. The infant reached out to the ranch dressing, touched it with their hands, and began licking their hands. One (1) staff member then sat next to the child and assisted with feeding. The sausages were removed from the pasta after the child had already been served and had begun eating the meal. The sausage pieces were approximately two (2) cm wide, one point five (1.5) cm in depth and five (5) mm thick. Rest time was observed in all classrooms except for space #3. Across fifteen (15) classrooms, thirteen (13) children had their faces partially or fully covered by their blankets. Infant sleep charts were logged in the app. The infant in space #11 was not asleep on the cot but was playing with a scarf and four (4) pretend animals. No blanket was provided to the child. Four (4) children in space #13 used sleep sacks requested by the parent. The playgrounds were monitored and no safety hazards were found. Thirty-three (33) existing files were reviewed for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates for those who are required to have. Twenty-one (21) new staff files were partially monitored. Due to not all file monitoring was completed, a follow-up visit may be conducted. During the follow-up visit, additional violations may be cited. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio sheet was not posted in room #418. .0713(a)(10), (c) & (f)(3); .2818(e) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts. .0901(g) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu. 10A NCAC 09 .0901(b) 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. In room #422, one (1) child's bottles were not dated. In #420, one (1) child's bottles were labeled with the dates, June 20. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child's feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In room #422, one (1) child's feeding plan was not signed by the parent. Also in room #419, one (1) child's feeding plan was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Across fifteen (15) classrooms, a total of thirteen (13) children's faces were covered by their blankets fully or partially but were not removed from their face by the staff members. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux's Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included. .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member, LP, who was hired on 6/2/25, did not have medical report in the file. 10A NCAC 09 .0701(a) 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. A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division's website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation. .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. One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file. .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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25). G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was completed on 2/27/25. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25). .0701(d) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. Wading pools were accessible and offered to infants during water play. .1403(b)(1-5) 9995 Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter. Technical assistance was provided as follows: 319: staff/child ratio sheet Staff/child ratio sheet must be posted in each classroom and licensed space. In most classrooms, the staff/child ratio sheet was posted but no information was filled out. In room #408, a voluntary enhanced ratio was checked. Please review the staff/child ratio sheet in all classrooms and write/check the correct information. The program goes by the minimum staff/child ratios. 508: allergy information Allergy information and special diet must be posted in the eating area. Refer to .0901(g). Allergy information must be easily visible in each classroom to prevent food-based allergic reaction. Many staff members rather than regular classroom teachers goes in and out of each classroom at your facility. Please make sure that all staff members are aware of the location of the information sheet in each classroom and follow the directions. 528: substitution When substitution items are served for meals and snacks, the item(s) must be recorded on the menu prior to serving the children. Refer to .0901(b). Parents must be informed of the changes in their child's meals. You must correct the menu prior to serving children. 533: bottles Children’s bottles must be accurately labeled with the child’s name and the date. Upon arrival, please make sure that all bottles are accurately labeled with the child’s name and the date. If not, please make the correction as needed. Refer to 15A NCAC 18A .2804(d). Labeling correct information, including the child's name and the date it was prepared prevents food-born illnesses and errors. Each morning, staff members shall inspect each child's bottles and make necessary corrections. 540 & 541: Feeding plans Feeding plans are required for all children under fifteen (15) months old. The plans must be signed by the parent and be posted in the classroom. Refer to .0902(a). Please obtain the signature for parents and post the plans for all children under fifteen (15) months of age, in space #9, #10, #11, #12, #13, #14 and #15. Feeding plans are the guide to the staff members. If the feeding plans do not match what children are being fed, the plan must be updated. 608: Hand Washing Children’s hands must be washed with soap and water after each diaper change. Refer to 15A NCAC .2803(c). If an infant is unable to hold his/her head, you can still wash his/her hands by laying the child in one arm and switch to the other side. Follow the guidance on the diaper changing chart in your classroom. 807: Safe environment When children’s faces are covered by blankets fully or partially, the staff members must remove the blanket off their faces for adequate supervision during nap time. Refer to .0601(a). All preschool children needs to be monitored during rest time. Upon checking each child, the child's face must be reviewed for breathing and change in color. Monitoring each child's chest movements are also effective. In order to monitor the colors of face and lips, you must make sure that their whole faces are visible. 840: Storage of hazardous materials Aerosol cans must be stored in a locked storage or removed from the classroom so that the items are not accessible to the children. Lockbox are effective storage to store those items. However, the box must be actually locked. Refer to 15 NCAC 18A .2820(d). The keys to the lock shall not remain on the lock, and the numbers on the combination shall be changed upon locking the box. Otherwise, they are not considered locked. 841: medication storage Non-emergency prescription items must be stored in a locked storage. Refer to 15A NCAC .2820(d). Please removed the Nystatin from the plastic box in room #410 and store it in a locked box. 847: Medication authorization form Medication authorization forms must be valid. Please make sure that the parents fill out the entire form, including the accurate name of the product, signature and date. All authorization form must be renewed before the expiration date. No staff members shall apply the cream when the authorization form is expired until the parents submit the new one. 849: expired medication All expired medications, including over-the-counter creams and sprays must be sent home or discarded within seventy-two (72) hours of expiration dates. Please remove the expired creams and sprays from the classroom and return them to the parents. 851: Medication logs When prescription or over-the-counter medication is administered, the following information must be recorded. Over-the-counter creams and sprays do not require the log. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a)the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. I recommend you use the form you can access and print on the Division's website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. In the form from the Division, all the required information is included. 1048: First Aid & 1049: CPR First aid and CPR certificates must be obtained within ninety (90) days of employment and renewed thereafter without lapse. Refer to .1102(c). To be compliance with this item, the certification for the training must be maintained in the file. 1811: Shelter-in-place drill A shelter-in-place or a lockdown drill must be conducted every three (3) months. Refer to .0604(u). You must complete the shelter-in-place drill immediately. 1825: EPR review The program’s EPR plan must be reviewed with staff members upon initial hiring and annually, and the documentation of the review must be maintained. Refer to .0607(f). Make sure that staff members fill out the form entirely including the date (day, month and year) of the review. 1915: Wading Pool Wading pools or any other equipment that holds water to meet the purpose of wading pool is prohibited. Refer to .1403(b) (1-5). Immediately remove the wading pools and make sure that they are not accessible to the children. 9995: storage of staff members’ belongings Staff members’ belongings must be inaccessible to the children. It does not have to stored in a locked storage. However, they must be stored at least five (5) feet above or cabinet with baby proof devices. Refer to 15A NCAC 18A .2826(f). New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Due to sixteen (16) or more violation, a follow-up visit will be conducted. Additionally, you may be warranted administrative action. 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed administrative action. I explained the appeal process, initial administrative action visit and follow-up visits. Reminders: Albuterol inhaler will expire in August 2025 in room #406. Parent's choice diaper rash cream in room #410 will expire in August 2025. Aveeno Eczema therapy will expire in August 2025 in room #416. Boudreaux's Butt paste will expire in July 2025 in room #419. Boudreaux's Butt paste and Aquaphor will expire in July 2025 in room #417. Boudreaux's Butt Paste will expire in August 2025 in room #422. Boudreaux's Butt Paste will expire in July 2025, in room #418. Evacuation crib: Nothing should be stored in evacuation cribs so that they are ready for use anytime an emergency occurs. Sleep sacks: sleep sacks maybe used for infants, but not anything that swaddles. Weighted sleep sacks shall be avoided. AAP considered weighted sleep sacks are unsafe and increase the chance of SIDS. Please consider not over bundling. Over bundling could lead to overheating which is another risk for SIDS. Removal of licensed space: The children at your facility cannot use the same space as children in unlicensed program at the same time. Simply, the children enrolled in summer camp cannot use the licensed space during operating hours. Ms. Lovelace and I discussed this matter for the use of room #405 by the children enrolled in summer camp not operated by the program. Based on the conversation, Ms. Lovelace emailed me during the visit and requested the room #405 to be removed from the licensed space. Based on the request, space #2 is removed from the licensed space effective June 23, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. 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 .0304 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2025 Number Present: 112 Completed Date: 6/23/2025 Age: From 0 To 12 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A hand-written visit summary was created during the visit due to time constraints created by the numbers of new staff files as well as numbers of violations cited during today's visit. The hand-written summary was reviewed and signed by Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator during the visit. A computerized generated report of today’s visit was created at HQ on the same day. Additional details were added in the computerized generated visit summary. Ms. Lovelace was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. Permit type – G.S. 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 6/9/25. The last shelter-in-place drill was practiced on 2/27/25. The last playground inspection was documented on 6/2/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/19/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 12/11/23 with potential hazards. Lead paint and asbestos testing was completed on 8/14/24 and the building was exempt. Upon arrival, I announce my presence and the purpose of the visit. Children were observed in all classrooms. In space #1, a group of six (6) children, four-to-five years of age, had cereal, cut cantaloupes, and milk for breakfast. Cereal, oranges and milk were listed on the menu posted in the lobby area. In space #2, a group of thirteen (13) children were present with two (2) staff members and two (2) volunteers. The children were attending summer camp at this site. One (1) of the children, a five (5) year old rising Kindergartener, was moved to the preschool during the day. The summer camp was intended for school-age children, five (5) to twelve (12) years old. The rising Kindergartener was enrolled mistakenly in the summer camp. Per Ms. Lovelace, the summer camp is not operated by the licensed preschool program. To transfer the rising Kindergartener to the preschool program, the child’s file information had to be transferred accordingly. According to Ms. Lovelace, the application used for both the summer camp and the preschool program is the same. I observed the transition procedures in space #3. The staff members conducted a name-to-face count prior to exiting the classroom. One (1) support staff member assisted with the transition. As the children crossed the threshold, the support staff member counted them by pointing at each child without directly touching them. In space #8, a group of twelve (12) children, two (2) years of age, were present in the classroom. The children engaged in free play with dress up clothes, pretend food, a climber, magnetic tiles and other materials. In space #9, a group of nine (9) children, one-to-two years of age, explored the environment. They carried instruments and rattles around the classroom. Water play was conducted for infant classrooms during the visit. The children in space #13, #14, and #15 played with splash pad. Non-mobile children were placed on the chairs. Two (2) wading pools were accessible to the children. The depth of water in one (1) of the wading pools were approximately five (5) inches. The depth of water in the other equipment was approximately six (6) inches. This equipment could be used for sandbox, but it was used as wading pool. No infants were observed in either of the wading pools, but they were easily accessible. Prescription medications and over-the-counter creams/sprays were monitored. In space #3, an inhaler was maintained appropriately with action plan and authorization form. However, the medication log had a checkmark on 3/12/25 with no other information. In space #7, one (1) prescription ointment/cream was maintained in the plastic container on top shelf, and the cabinet was not locked. One (1) prescription was maintained in the walk-in refrigerator in the kitchen. The action plan and authorization form were valid. Lunch was served during the visit: sliced sausages and pasta in Alfredo sauce, sliced cucumbers, pineapples, and milk. I observed mealtime in space #11. Three (3) children brought meals from home. In space #11, one (1) child under twelve (12) months of age was present. The child was served the same food as the others. No feeding plan was posted. The infant reached out to the ranch dressing, touched it with their hands, and began licking their hands. One (1) staff member then sat next to the child and assisted with feeding. The sausages were removed from the pasta after the child had already been served and had begun eating the meal. The sausage pieces were approximately two (2) cm wide, one point five (1.5) cm in depth and five (5) mm thick. Rest time was observed in all classrooms except for space #3. Across fifteen (15) classrooms, thirteen (13) children had their faces partially or fully covered by their blankets. Infant sleep charts were logged in the app. The infant in space #11 was not asleep on the cot but was playing with a scarf and four (4) pretend animals. No blanket was provided to the child. Four (4) children in space #13 used sleep sacks requested by the parent. The playgrounds were monitored and no safety hazards were found. Thirty-three (33) existing files were reviewed for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates for those who are required to have. Twenty-one (21) new staff files were partially monitored. Due to not all file monitoring was completed, a follow-up visit may be conducted. During the follow-up visit, additional violations may be cited. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio sheet was not posted in room #418. .0713(a)(10), (c) & (f)(3); .2818(e) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts. .0901(g) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu. 10A NCAC 09 .0901(b) 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. In room #422, one (1) child's bottles were not dated. In #420, one (1) child's bottles were labeled with the dates, June 20. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child's feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In room #422, one (1) child's feeding plan was not signed by the parent. Also in room #419, one (1) child's feeding plan was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Across fifteen (15) classrooms, a total of thirteen (13) children's faces were covered by their blankets fully or partially but were not removed from their face by the staff members. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux's Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included. .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member, LP, who was hired on 6/2/25, did not have medical report in the file. 10A NCAC 09 .0701(a) 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. A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division's website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation. .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. One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file. .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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25). G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was completed on 2/27/25. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25). .0701(d) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. Wading pools were accessible and offered to infants during water play. .1403(b)(1-5) 9995 Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter. Technical assistance was provided as follows: 319: staff/child ratio sheet Staff/child ratio sheet must be posted in each classroom and licensed space. In most classrooms, the staff/child ratio sheet was posted but no information was filled out. In room #408, a voluntary enhanced ratio was checked. Please review the staff/child ratio sheet in all classrooms and write/check the correct information. The program goes by the minimum staff/child ratios. 508: allergy information Allergy information and special diet must be posted in the eating area. Refer to .0901(g). Allergy information must be easily visible in each classroom to prevent food-based allergic reaction. Many staff members rather than regular classroom teachers goes in and out of each classroom at your facility. Please make sure that all staff members are aware of the location of the information sheet in each classroom and follow the directions. 528: substitution When substitution items are served for meals and snacks, the item(s) must be recorded on the menu prior to serving the children. Refer to .0901(b). Parents must be informed of the changes in their child's meals. You must correct the menu prior to serving children. 533: bottles Children’s bottles must be accurately labeled with the child’s name and the date. Upon arrival, please make sure that all bottles are accurately labeled with the child’s name and the date. If not, please make the correction as needed. Refer to 15A NCAC 18A .2804(d). Labeling correct information, including the child's name and the date it was prepared prevents food-born illnesses and errors. Each morning, staff members shall inspect each child's bottles and make necessary corrections. 540 & 541: Feeding plans Feeding plans are required for all children under fifteen (15) months old. The plans must be signed by the parent and be posted in the classroom. Refer to .0902(a). Please obtain the signature for parents and post the plans for all children under fifteen (15) months of age, in space #9, #10, #11, #12, #13, #14 and #15. Feeding plans are the guide to the staff members. If the feeding plans do not match what children are being fed, the plan must be updated. 608: Hand Washing Children’s hands must be washed with soap and water after each diaper change. Refer to 15A NCAC .2803(c). If an infant is unable to hold his/her head, you can still wash his/her hands by laying the child in one arm and switch to the other side. Follow the guidance on the diaper changing chart in your classroom. 807: Safe environment When children’s faces are covered by blankets fully or partially, the staff members must remove the blanket off their faces for adequate supervision during nap time. Refer to .0601(a). All preschool children needs to be monitored during rest time. Upon checking each child, the child's face must be reviewed for breathing and change in color. Monitoring each child's chest movements are also effective. In order to monitor the colors of face and lips, you must make sure that their whole faces are visible. 840: Storage of hazardous materials Aerosol cans must be stored in a locked storage or removed from the classroom so that the items are not accessible to the children. Lockbox are effective storage to store those items. However, the box must be actually locked. Refer to 15 NCAC 18A .2820(d). The keys to the lock shall not remain on the lock, and the numbers on the combination shall be changed upon locking the box. Otherwise, they are not considered locked. 841: medication storage Non-emergency prescription items must be stored in a locked storage. Refer to 15A NCAC .2820(d). Please removed the Nystatin from the plastic box in room #410 and store it in a locked box. 847: Medication authorization form Medication authorization forms must be valid. Please make sure that the parents fill out the entire form, including the accurate name of the product, signature and date. All authorization form must be renewed before the expiration date. No staff members shall apply the cream when the authorization form is expired until the parents submit the new one. 849: expired medication All expired medications, including over-the-counter creams and sprays must be sent home or discarded within seventy-two (72) hours of expiration dates. Please remove the expired creams and sprays from the classroom and return them to the parents. 851: Medication logs When prescription or over-the-counter medication is administered, the following information must be recorded. Over-the-counter creams and sprays do not require the log. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a)the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. I recommend you use the form you can access and print on the Division's website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. In the form from the Division, all the required information is included. 1048: First Aid & 1049: CPR First aid and CPR certificates must be obtained within ninety (90) days of employment and renewed thereafter without lapse. Refer to .1102(c). To be compliance with this item, the certification for the training must be maintained in the file. 1811: Shelter-in-place drill A shelter-in-place or a lockdown drill must be conducted every three (3) months. Refer to .0604(u). You must complete the shelter-in-place drill immediately. 1825: EPR review The program’s EPR plan must be reviewed with staff members upon initial hiring and annually, and the documentation of the review must be maintained. Refer to .0607(f). Make sure that staff members fill out the form entirely including the date (day, month and year) of the review. 1915: Wading Pool Wading pools or any other equipment that holds water to meet the purpose of wading pool is prohibited. Refer to .1403(b) (1-5). Immediately remove the wading pools and make sure that they are not accessible to the children. 9995: storage of staff members’ belongings Staff members’ belongings must be inaccessible to the children. It does not have to stored in a locked storage. However, they must be stored at least five (5) feet above or cabinet with baby proof devices. Refer to 15A NCAC 18A .2826(f). New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Due to sixteen (16) or more violation, a follow-up visit will be conducted. Additionally, you may be warranted administrative action. 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed administrative action. I explained the appeal process, initial administrative action visit and follow-up visits. Reminders: Albuterol inhaler will expire in August 2025 in room #406. Parent's choice diaper rash cream in room #410 will expire in August 2025. Aveeno Eczema therapy will expire in August 2025 in room #416. Boudreaux's Butt paste will expire in July 2025 in room #419. Boudreaux's Butt paste and Aquaphor will expire in July 2025 in room #417. Boudreaux's Butt Paste will expire in August 2025 in room #422. Boudreaux's Butt Paste will expire in July 2025, in room #418. Evacuation crib: Nothing should be stored in evacuation cribs so that they are ready for use anytime an emergency occurs. Sleep sacks: sleep sacks maybe used for infants, but not anything that swaddles. Weighted sleep sacks shall be avoided. AAP considered weighted sleep sacks are unsafe and increase the chance of SIDS. Please consider not over bundling. Over bundling could lead to overheating which is another risk for SIDS. Removal of licensed space: The children at your facility cannot use the same space as children in unlicensed program at the same time. Simply, the children enrolled in summer camp cannot use the licensed space during operating hours. Ms. Lovelace and I discussed this matter for the use of room #405 by the children enrolled in summer camp not operated by the program. Based on the conversation, Ms. Lovelace emailed me during the visit and requested the room #405 to be removed from the licensed space. Based on the request, space #2 is removed from the licensed space effective June 23, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. 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 .0701 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2025 Number Present: 112 Completed Date: 6/23/2025 Age: From 0 To 12 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A hand-written visit summary was created during the visit due to time constraints created by the numbers of new staff files as well as numbers of violations cited during today's visit. The hand-written summary was reviewed and signed by Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator during the visit. A computerized generated report of today’s visit was created at HQ on the same day. Additional details were added in the computerized generated visit summary. Ms. Lovelace was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. Permit type – G.S. 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 6/9/25. The last shelter-in-place drill was practiced on 2/27/25. The last playground inspection was documented on 6/2/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/19/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 12/11/23 with potential hazards. Lead paint and asbestos testing was completed on 8/14/24 and the building was exempt. Upon arrival, I announce my presence and the purpose of the visit. Children were observed in all classrooms. In space #1, a group of six (6) children, four-to-five years of age, had cereal, cut cantaloupes, and milk for breakfast. Cereal, oranges and milk were listed on the menu posted in the lobby area. In space #2, a group of thirteen (13) children were present with two (2) staff members and two (2) volunteers. The children were attending summer camp at this site. One (1) of the children, a five (5) year old rising Kindergartener, was moved to the preschool during the day. The summer camp was intended for school-age children, five (5) to twelve (12) years old. The rising Kindergartener was enrolled mistakenly in the summer camp. Per Ms. Lovelace, the summer camp is not operated by the licensed preschool program. To transfer the rising Kindergartener to the preschool program, the child’s file information had to be transferred accordingly. According to Ms. Lovelace, the application used for both the summer camp and the preschool program is the same. I observed the transition procedures in space #3. The staff members conducted a name-to-face count prior to exiting the classroom. One (1) support staff member assisted with the transition. As the children crossed the threshold, the support staff member counted them by pointing at each child without directly touching them. In space #8, a group of twelve (12) children, two (2) years of age, were present in the classroom. The children engaged in free play with dress up clothes, pretend food, a climber, magnetic tiles and other materials. In space #9, a group of nine (9) children, one-to-two years of age, explored the environment. They carried instruments and rattles around the classroom. Water play was conducted for infant classrooms during the visit. The children in space #13, #14, and #15 played with splash pad. Non-mobile children were placed on the chairs. Two (2) wading pools were accessible to the children. The depth of water in one (1) of the wading pools were approximately five (5) inches. The depth of water in the other equipment was approximately six (6) inches. This equipment could be used for sandbox, but it was used as wading pool. No infants were observed in either of the wading pools, but they were easily accessible. Prescription medications and over-the-counter creams/sprays were monitored. In space #3, an inhaler was maintained appropriately with action plan and authorization form. However, the medication log had a checkmark on 3/12/25 with no other information. In space #7, one (1) prescription ointment/cream was maintained in the plastic container on top shelf, and the cabinet was not locked. One (1) prescription was maintained in the walk-in refrigerator in the kitchen. The action plan and authorization form were valid. Lunch was served during the visit: sliced sausages and pasta in Alfredo sauce, sliced cucumbers, pineapples, and milk. I observed mealtime in space #11. Three (3) children brought meals from home. In space #11, one (1) child under twelve (12) months of age was present. The child was served the same food as the others. No feeding plan was posted. The infant reached out to the ranch dressing, touched it with their hands, and began licking their hands. One (1) staff member then sat next to the child and assisted with feeding. The sausages were removed from the pasta after the child had already been served and had begun eating the meal. The sausage pieces were approximately two (2) cm wide, one point five (1.5) cm in depth and five (5) mm thick. Rest time was observed in all classrooms except for space #3. Across fifteen (15) classrooms, thirteen (13) children had their faces partially or fully covered by their blankets. Infant sleep charts were logged in the app. The infant in space #11 was not asleep on the cot but was playing with a scarf and four (4) pretend animals. No blanket was provided to the child. Four (4) children in space #13 used sleep sacks requested by the parent. The playgrounds were monitored and no safety hazards were found. Thirty-three (33) existing files were reviewed for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates for those who are required to have. Twenty-one (21) new staff files were partially monitored. Due to not all file monitoring was completed, a follow-up visit may be conducted. During the follow-up visit, additional violations may be cited. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio sheet was not posted in room #418. .0713(a)(10), (c) & (f)(3); .2818(e) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts. .0901(g) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu. 10A NCAC 09 .0901(b) 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. In room #422, one (1) child's bottles were not dated. In #420, one (1) child's bottles were labeled with the dates, June 20. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child's feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In room #422, one (1) child's feeding plan was not signed by the parent. Also in room #419, one (1) child's feeding plan was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Across fifteen (15) classrooms, a total of thirteen (13) children's faces were covered by their blankets fully or partially but were not removed from their face by the staff members. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux's Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included. .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member, LP, who was hired on 6/2/25, did not have medical report in the file. 10A NCAC 09 .0701(a) 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. A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division's website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation. .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. One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file. .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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25). G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was completed on 2/27/25. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25). .0701(d) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. Wading pools were accessible and offered to infants during water play. .1403(b)(1-5) 9995 Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter. Technical assistance was provided as follows: 319: staff/child ratio sheet Staff/child ratio sheet must be posted in each classroom and licensed space. In most classrooms, the staff/child ratio sheet was posted but no information was filled out. In room #408, a voluntary enhanced ratio was checked. Please review the staff/child ratio sheet in all classrooms and write/check the correct information. The program goes by the minimum staff/child ratios. 508: allergy information Allergy information and special diet must be posted in the eating area. Refer to .0901(g). Allergy information must be easily visible in each classroom to prevent food-based allergic reaction. Many staff members rather than regular classroom teachers goes in and out of each classroom at your facility. Please make sure that all staff members are aware of the location of the information sheet in each classroom and follow the directions. 528: substitution When substitution items are served for meals and snacks, the item(s) must be recorded on the menu prior to serving the children. Refer to .0901(b). Parents must be informed of the changes in their child's meals. You must correct the menu prior to serving children. 533: bottles Children’s bottles must be accurately labeled with the child’s name and the date. Upon arrival, please make sure that all bottles are accurately labeled with the child’s name and the date. If not, please make the correction as needed. Refer to 15A NCAC 18A .2804(d). Labeling correct information, including the child's name and the date it was prepared prevents food-born illnesses and errors. Each morning, staff members shall inspect each child's bottles and make necessary corrections. 540 & 541: Feeding plans Feeding plans are required for all children under fifteen (15) months old. The plans must be signed by the parent and be posted in the classroom. Refer to .0902(a). Please obtain the signature for parents and post the plans for all children under fifteen (15) months of age, in space #9, #10, #11, #12, #13, #14 and #15. Feeding plans are the guide to the staff members. If the feeding plans do not match what children are being fed, the plan must be updated. 608: Hand Washing Children’s hands must be washed with soap and water after each diaper change. Refer to 15A NCAC .2803(c). If an infant is unable to hold his/her head, you can still wash his/her hands by laying the child in one arm and switch to the other side. Follow the guidance on the diaper changing chart in your classroom. 807: Safe environment When children’s faces are covered by blankets fully or partially, the staff members must remove the blanket off their faces for adequate supervision during nap time. Refer to .0601(a). All preschool children needs to be monitored during rest time. Upon checking each child, the child's face must be reviewed for breathing and change in color. Monitoring each child's chest movements are also effective. In order to monitor the colors of face and lips, you must make sure that their whole faces are visible. 840: Storage of hazardous materials Aerosol cans must be stored in a locked storage or removed from the classroom so that the items are not accessible to the children. Lockbox are effective storage to store those items. However, the box must be actually locked. Refer to 15 NCAC 18A .2820(d). The keys to the lock shall not remain on the lock, and the numbers on the combination shall be changed upon locking the box. Otherwise, they are not considered locked. 841: medication storage Non-emergency prescription items must be stored in a locked storage. Refer to 15A NCAC .2820(d). Please removed the Nystatin from the plastic box in room #410 and store it in a locked box. 847: Medication authorization form Medication authorization forms must be valid. Please make sure that the parents fill out the entire form, including the accurate name of the product, signature and date. All authorization form must be renewed before the expiration date. No staff members shall apply the cream when the authorization form is expired until the parents submit the new one. 849: expired medication All expired medications, including over-the-counter creams and sprays must be sent home or discarded within seventy-two (72) hours of expiration dates. Please remove the expired creams and sprays from the classroom and return them to the parents. 851: Medication logs When prescription or over-the-counter medication is administered, the following information must be recorded. Over-the-counter creams and sprays do not require the log. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a)the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. I recommend you use the form you can access and print on the Division's website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. In the form from the Division, all the required information is included. 1048: First Aid & 1049: CPR First aid and CPR certificates must be obtained within ninety (90) days of employment and renewed thereafter without lapse. Refer to .1102(c). To be compliance with this item, the certification for the training must be maintained in the file. 1811: Shelter-in-place drill A shelter-in-place or a lockdown drill must be conducted every three (3) months. Refer to .0604(u). You must complete the shelter-in-place drill immediately. 1825: EPR review The program’s EPR plan must be reviewed with staff members upon initial hiring and annually, and the documentation of the review must be maintained. Refer to .0607(f). Make sure that staff members fill out the form entirely including the date (day, month and year) of the review. 1915: Wading Pool Wading pools or any other equipment that holds water to meet the purpose of wading pool is prohibited. Refer to .1403(b) (1-5). Immediately remove the wading pools and make sure that they are not accessible to the children. 9995: storage of staff members’ belongings Staff members’ belongings must be inaccessible to the children. It does not have to stored in a locked storage. However, they must be stored at least five (5) feet above or cabinet with baby proof devices. Refer to 15A NCAC 18A .2826(f). New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Due to sixteen (16) or more violation, a follow-up visit will be conducted. Additionally, you may be warranted administrative action. 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed administrative action. I explained the appeal process, initial administrative action visit and follow-up visits. Reminders: Albuterol inhaler will expire in August 2025 in room #406. Parent's choice diaper rash cream in room #410 will expire in August 2025. Aveeno Eczema therapy will expire in August 2025 in room #416. Boudreaux's Butt paste will expire in July 2025 in room #419. Boudreaux's Butt paste and Aquaphor will expire in July 2025 in room #417. Boudreaux's Butt Paste will expire in August 2025 in room #422. Boudreaux's Butt Paste will expire in July 2025, in room #418. Evacuation crib: Nothing should be stored in evacuation cribs so that they are ready for use anytime an emergency occurs. Sleep sacks: sleep sacks maybe used for infants, but not anything that swaddles. Weighted sleep sacks shall be avoided. AAP considered weighted sleep sacks are unsafe and increase the chance of SIDS. Please consider not over bundling. Over bundling could lead to overheating which is another risk for SIDS. Removal of licensed space: The children at your facility cannot use the same space as children in unlicensed program at the same time. Simply, the children enrolled in summer camp cannot use the licensed space during operating hours. Ms. Lovelace and I discussed this matter for the use of room #405 by the children enrolled in summer camp not operated by the program. Based on the conversation, Ms. Lovelace emailed me during the visit and requested the room #405 to be removed from the licensed space. Based on the request, space #2 is removed from the licensed space effective June 23, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. 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: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2025 Number Present: 112 Completed Date: 6/23/2025 Age: From 0 To 12 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A hand-written visit summary was created during the visit due to time constraints created by the numbers of new staff files as well as numbers of violations cited during today's visit. The hand-written summary was reviewed and signed by Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator during the visit. A computerized generated report of today’s visit was created at HQ on the same day. Additional details were added in the computerized generated visit summary. Ms. Lovelace was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. Permit type – G.S. 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 6/9/25. The last shelter-in-place drill was practiced on 2/27/25. The last playground inspection was documented on 6/2/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/19/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 12/11/23 with potential hazards. Lead paint and asbestos testing was completed on 8/14/24 and the building was exempt. Upon arrival, I announce my presence and the purpose of the visit. Children were observed in all classrooms. In space #1, a group of six (6) children, four-to-five years of age, had cereal, cut cantaloupes, and milk for breakfast. Cereal, oranges and milk were listed on the menu posted in the lobby area. In space #2, a group of thirteen (13) children were present with two (2) staff members and two (2) volunteers. The children were attending summer camp at this site. One (1) of the children, a five (5) year old rising Kindergartener, was moved to the preschool during the day. The summer camp was intended for school-age children, five (5) to twelve (12) years old. The rising Kindergartener was enrolled mistakenly in the summer camp. Per Ms. Lovelace, the summer camp is not operated by the licensed preschool program. To transfer the rising Kindergartener to the preschool program, the child’s file information had to be transferred accordingly. According to Ms. Lovelace, the application used for both the summer camp and the preschool program is the same. I observed the transition procedures in space #3. The staff members conducted a name-to-face count prior to exiting the classroom. One (1) support staff member assisted with the transition. As the children crossed the threshold, the support staff member counted them by pointing at each child without directly touching them. In space #8, a group of twelve (12) children, two (2) years of age, were present in the classroom. The children engaged in free play with dress up clothes, pretend food, a climber, magnetic tiles and other materials. In space #9, a group of nine (9) children, one-to-two years of age, explored the environment. They carried instruments and rattles around the classroom. Water play was conducted for infant classrooms during the visit. The children in space #13, #14, and #15 played with splash pad. Non-mobile children were placed on the chairs. Two (2) wading pools were accessible to the children. The depth of water in one (1) of the wading pools were approximately five (5) inches. The depth of water in the other equipment was approximately six (6) inches. This equipment could be used for sandbox, but it was used as wading pool. No infants were observed in either of the wading pools, but they were easily accessible. Prescription medications and over-the-counter creams/sprays were monitored. In space #3, an inhaler was maintained appropriately with action plan and authorization form. However, the medication log had a checkmark on 3/12/25 with no other information. In space #7, one (1) prescription ointment/cream was maintained in the plastic container on top shelf, and the cabinet was not locked. One (1) prescription was maintained in the walk-in refrigerator in the kitchen. The action plan and authorization form were valid. Lunch was served during the visit: sliced sausages and pasta in Alfredo sauce, sliced cucumbers, pineapples, and milk. I observed mealtime in space #11. Three (3) children brought meals from home. In space #11, one (1) child under twelve (12) months of age was present. The child was served the same food as the others. No feeding plan was posted. The infant reached out to the ranch dressing, touched it with their hands, and began licking their hands. One (1) staff member then sat next to the child and assisted with feeding. The sausages were removed from the pasta after the child had already been served and had begun eating the meal. The sausage pieces were approximately two (2) cm wide, one point five (1.5) cm in depth and five (5) mm thick. Rest time was observed in all classrooms except for space #3. Across fifteen (15) classrooms, thirteen (13) children had their faces partially or fully covered by their blankets. Infant sleep charts were logged in the app. The infant in space #11 was not asleep on the cot but was playing with a scarf and four (4) pretend animals. No blanket was provided to the child. Four (4) children in space #13 used sleep sacks requested by the parent. The playgrounds were monitored and no safety hazards were found. Thirty-three (33) existing files were reviewed for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates for those who are required to have. Twenty-one (21) new staff files were partially monitored. Due to not all file monitoring was completed, a follow-up visit may be conducted. During the follow-up visit, additional violations may be cited. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio sheet was not posted in room #418. .0713(a)(10), (c) & (f)(3); .2818(e) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts. .0901(g) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu. 10A NCAC 09 .0901(b) 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. In room #422, one (1) child's bottles were not dated. In #420, one (1) child's bottles were labeled with the dates, June 20. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child's feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In room #422, one (1) child's feeding plan was not signed by the parent. Also in room #419, one (1) child's feeding plan was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Across fifteen (15) classrooms, a total of thirteen (13) children's faces were covered by their blankets fully or partially but were not removed from their face by the staff members. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux's Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included. .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member, LP, who was hired on 6/2/25, did not have medical report in the file. 10A NCAC 09 .0701(a) 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. A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division's website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation. .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. One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file. .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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25). G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was completed on 2/27/25. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25). .0701(d) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. Wading pools were accessible and offered to infants during water play. .1403(b)(1-5) 9995 Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter. Technical assistance was provided as follows: 319: staff/child ratio sheet Staff/child ratio sheet must be posted in each classroom and licensed space. In most classrooms, the staff/child ratio sheet was posted but no information was filled out. In room #408, a voluntary enhanced ratio was checked. Please review the staff/child ratio sheet in all classrooms and write/check the correct information. The program goes by the minimum staff/child ratios. 508: allergy information Allergy information and special diet must be posted in the eating area. Refer to .0901(g). Allergy information must be easily visible in each classroom to prevent food-based allergic reaction. Many staff members rather than regular classroom teachers goes in and out of each classroom at your facility. Please make sure that all staff members are aware of the location of the information sheet in each classroom and follow the directions. 528: substitution When substitution items are served for meals and snacks, the item(s) must be recorded on the menu prior to serving the children. Refer to .0901(b). Parents must be informed of the changes in their child's meals. You must correct the menu prior to serving children. 533: bottles Children’s bottles must be accurately labeled with the child’s name and the date. Upon arrival, please make sure that all bottles are accurately labeled with the child’s name and the date. If not, please make the correction as needed. Refer to 15A NCAC 18A .2804(d). Labeling correct information, including the child's name and the date it was prepared prevents food-born illnesses and errors. Each morning, staff members shall inspect each child's bottles and make necessary corrections. 540 & 541: Feeding plans Feeding plans are required for all children under fifteen (15) months old. The plans must be signed by the parent and be posted in the classroom. Refer to .0902(a). Please obtain the signature for parents and post the plans for all children under fifteen (15) months of age, in space #9, #10, #11, #12, #13, #14 and #15. Feeding plans are the guide to the staff members. If the feeding plans do not match what children are being fed, the plan must be updated. 608: Hand Washing Children’s hands must be washed with soap and water after each diaper change. Refer to 15A NCAC .2803(c). If an infant is unable to hold his/her head, you can still wash his/her hands by laying the child in one arm and switch to the other side. Follow the guidance on the diaper changing chart in your classroom. 807: Safe environment When children’s faces are covered by blankets fully or partially, the staff members must remove the blanket off their faces for adequate supervision during nap time. Refer to .0601(a). All preschool children needs to be monitored during rest time. Upon checking each child, the child's face must be reviewed for breathing and change in color. Monitoring each child's chest movements are also effective. In order to monitor the colors of face and lips, you must make sure that their whole faces are visible. 840: Storage of hazardous materials Aerosol cans must be stored in a locked storage or removed from the classroom so that the items are not accessible to the children. Lockbox are effective storage to store those items. However, the box must be actually locked. Refer to 15 NCAC 18A .2820(d). The keys to the lock shall not remain on the lock, and the numbers on the combination shall be changed upon locking the box. Otherwise, they are not considered locked. 841: medication storage Non-emergency prescription items must be stored in a locked storage. Refer to 15A NCAC .2820(d). Please removed the Nystatin from the plastic box in room #410 and store it in a locked box. 847: Medication authorization form Medication authorization forms must be valid. Please make sure that the parents fill out the entire form, including the accurate name of the product, signature and date. All authorization form must be renewed before the expiration date. No staff members shall apply the cream when the authorization form is expired until the parents submit the new one. 849: expired medication All expired medications, including over-the-counter creams and sprays must be sent home or discarded within seventy-two (72) hours of expiration dates. Please remove the expired creams and sprays from the classroom and return them to the parents. 851: Medication logs When prescription or over-the-counter medication is administered, the following information must be recorded. Over-the-counter creams and sprays do not require the log. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a)the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. I recommend you use the form you can access and print on the Division's website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. In the form from the Division, all the required information is included. 1048: First Aid & 1049: CPR First aid and CPR certificates must be obtained within ninety (90) days of employment and renewed thereafter without lapse. Refer to .1102(c). To be compliance with this item, the certification for the training must be maintained in the file. 1811: Shelter-in-place drill A shelter-in-place or a lockdown drill must be conducted every three (3) months. Refer to .0604(u). You must complete the shelter-in-place drill immediately. 1825: EPR review The program’s EPR plan must be reviewed with staff members upon initial hiring and annually, and the documentation of the review must be maintained. Refer to .0607(f). Make sure that staff members fill out the form entirely including the date (day, month and year) of the review. 1915: Wading Pool Wading pools or any other equipment that holds water to meet the purpose of wading pool is prohibited. Refer to .1403(b) (1-5). Immediately remove the wading pools and make sure that they are not accessible to the children. 9995: storage of staff members’ belongings Staff members’ belongings must be inaccessible to the children. It does not have to stored in a locked storage. However, they must be stored at least five (5) feet above or cabinet with baby proof devices. Refer to 15A NCAC 18A .2826(f). New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Due to sixteen (16) or more violation, a follow-up visit will be conducted. Additionally, you may be warranted administrative action. 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed administrative action. I explained the appeal process, initial administrative action visit and follow-up visits. Reminders: Albuterol inhaler will expire in August 2025 in room #406. Parent's choice diaper rash cream in room #410 will expire in August 2025. Aveeno Eczema therapy will expire in August 2025 in room #416. Boudreaux's Butt paste will expire in July 2025 in room #419. Boudreaux's Butt paste and Aquaphor will expire in July 2025 in room #417. Boudreaux's Butt Paste will expire in August 2025 in room #422. Boudreaux's Butt Paste will expire in July 2025, in room #418. Evacuation crib: Nothing should be stored in evacuation cribs so that they are ready for use anytime an emergency occurs. Sleep sacks: sleep sacks maybe used for infants, but not anything that swaddles. Weighted sleep sacks shall be avoided. AAP considered weighted sleep sacks are unsafe and increase the chance of SIDS. Please consider not over bundling. Over bundling could lead to overheating which is another risk for SIDS. Removal of licensed space: The children at your facility cannot use the same space as children in unlicensed program at the same time. Simply, the children enrolled in summer camp cannot use the licensed space during operating hours. Ms. Lovelace and I discussed this matter for the use of room #405 by the children enrolled in summer camp not operated by the program. Based on the conversation, Ms. Lovelace emailed me during the visit and requested the room #405 to be removed from the licensed space. Based on the request, space #2 is removed from the licensed space effective June 23, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. 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. 110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2025 Number Present: 112 Completed Date: 6/23/2025 Age: From 0 To 12 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A hand-written visit summary was created during the visit due to time constraints created by the numbers of new staff files as well as numbers of violations cited during today's visit. The hand-written summary was reviewed and signed by Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator during the visit. A computerized generated report of today’s visit was created at HQ on the same day. Additional details were added in the computerized generated visit summary. Ms. Lovelace was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. Permit type – G.S. 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 6/9/25. The last shelter-in-place drill was practiced on 2/27/25. The last playground inspection was documented on 6/2/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/19/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 12/11/23 with potential hazards. Lead paint and asbestos testing was completed on 8/14/24 and the building was exempt. Upon arrival, I announce my presence and the purpose of the visit. Children were observed in all classrooms. In space #1, a group of six (6) children, four-to-five years of age, had cereal, cut cantaloupes, and milk for breakfast. Cereal, oranges and milk were listed on the menu posted in the lobby area. In space #2, a group of thirteen (13) children were present with two (2) staff members and two (2) volunteers. The children were attending summer camp at this site. One (1) of the children, a five (5) year old rising Kindergartener, was moved to the preschool during the day. The summer camp was intended for school-age children, five (5) to twelve (12) years old. The rising Kindergartener was enrolled mistakenly in the summer camp. Per Ms. Lovelace, the summer camp is not operated by the licensed preschool program. To transfer the rising Kindergartener to the preschool program, the child’s file information had to be transferred accordingly. According to Ms. Lovelace, the application used for both the summer camp and the preschool program is the same. I observed the transition procedures in space #3. The staff members conducted a name-to-face count prior to exiting the classroom. One (1) support staff member assisted with the transition. As the children crossed the threshold, the support staff member counted them by pointing at each child without directly touching them. In space #8, a group of twelve (12) children, two (2) years of age, were present in the classroom. The children engaged in free play with dress up clothes, pretend food, a climber, magnetic tiles and other materials. In space #9, a group of nine (9) children, one-to-two years of age, explored the environment. They carried instruments and rattles around the classroom. Water play was conducted for infant classrooms during the visit. The children in space #13, #14, and #15 played with splash pad. Non-mobile children were placed on the chairs. Two (2) wading pools were accessible to the children. The depth of water in one (1) of the wading pools were approximately five (5) inches. The depth of water in the other equipment was approximately six (6) inches. This equipment could be used for sandbox, but it was used as wading pool. No infants were observed in either of the wading pools, but they were easily accessible. Prescription medications and over-the-counter creams/sprays were monitored. In space #3, an inhaler was maintained appropriately with action plan and authorization form. However, the medication log had a checkmark on 3/12/25 with no other information. In space #7, one (1) prescription ointment/cream was maintained in the plastic container on top shelf, and the cabinet was not locked. One (1) prescription was maintained in the walk-in refrigerator in the kitchen. The action plan and authorization form were valid. Lunch was served during the visit: sliced sausages and pasta in Alfredo sauce, sliced cucumbers, pineapples, and milk. I observed mealtime in space #11. Three (3) children brought meals from home. In space #11, one (1) child under twelve (12) months of age was present. The child was served the same food as the others. No feeding plan was posted. The infant reached out to the ranch dressing, touched it with their hands, and began licking their hands. One (1) staff member then sat next to the child and assisted with feeding. The sausages were removed from the pasta after the child had already been served and had begun eating the meal. The sausage pieces were approximately two (2) cm wide, one point five (1.5) cm in depth and five (5) mm thick. Rest time was observed in all classrooms except for space #3. Across fifteen (15) classrooms, thirteen (13) children had their faces partially or fully covered by their blankets. Infant sleep charts were logged in the app. The infant in space #11 was not asleep on the cot but was playing with a scarf and four (4) pretend animals. No blanket was provided to the child. Four (4) children in space #13 used sleep sacks requested by the parent. The playgrounds were monitored and no safety hazards were found. Thirty-three (33) existing files were reviewed for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates for those who are required to have. Twenty-one (21) new staff files were partially monitored. Due to not all file monitoring was completed, a follow-up visit may be conducted. During the follow-up visit, additional violations may be cited. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio sheet was not posted in room #418. .0713(a)(10), (c) & (f)(3); .2818(e) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts. .0901(g) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu. 10A NCAC 09 .0901(b) 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. In room #422, one (1) child's bottles were not dated. In #420, one (1) child's bottles were labeled with the dates, June 20. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child's feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In room #422, one (1) child's feeding plan was not signed by the parent. Also in room #419, one (1) child's feeding plan was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Across fifteen (15) classrooms, a total of thirteen (13) children's faces were covered by their blankets fully or partially but were not removed from their face by the staff members. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux's Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included. .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member, LP, who was hired on 6/2/25, did not have medical report in the file. 10A NCAC 09 .0701(a) 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. A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division's website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation. .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. One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file. .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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25). G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was completed on 2/27/25. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25). .0701(d) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. Wading pools were accessible and offered to infants during water play. .1403(b)(1-5) 9995 Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter. Technical assistance was provided as follows: 319: staff/child ratio sheet Staff/child ratio sheet must be posted in each classroom and licensed space. In most classrooms, the staff/child ratio sheet was posted but no information was filled out. In room #408, a voluntary enhanced ratio was checked. Please review the staff/child ratio sheet in all classrooms and write/check the correct information. The program goes by the minimum staff/child ratios. 508: allergy information Allergy information and special diet must be posted in the eating area. Refer to .0901(g). Allergy information must be easily visible in each classroom to prevent food-based allergic reaction. Many staff members rather than regular classroom teachers goes in and out of each classroom at your facility. Please make sure that all staff members are aware of the location of the information sheet in each classroom and follow the directions. 528: substitution When substitution items are served for meals and snacks, the item(s) must be recorded on the menu prior to serving the children. Refer to .0901(b). Parents must be informed of the changes in their child's meals. You must correct the menu prior to serving children. 533: bottles Children’s bottles must be accurately labeled with the child’s name and the date. Upon arrival, please make sure that all bottles are accurately labeled with the child’s name and the date. If not, please make the correction as needed. Refer to 15A NCAC 18A .2804(d). Labeling correct information, including the child's name and the date it was prepared prevents food-born illnesses and errors. Each morning, staff members shall inspect each child's bottles and make necessary corrections. 540 & 541: Feeding plans Feeding plans are required for all children under fifteen (15) months old. The plans must be signed by the parent and be posted in the classroom. Refer to .0902(a). Please obtain the signature for parents and post the plans for all children under fifteen (15) months of age, in space #9, #10, #11, #12, #13, #14 and #15. Feeding plans are the guide to the staff members. If the feeding plans do not match what children are being fed, the plan must be updated. 608: Hand Washing Children’s hands must be washed with soap and water after each diaper change. Refer to 15A NCAC .2803(c). If an infant is unable to hold his/her head, you can still wash his/her hands by laying the child in one arm and switch to the other side. Follow the guidance on the diaper changing chart in your classroom. 807: Safe environment When children’s faces are covered by blankets fully or partially, the staff members must remove the blanket off their faces for adequate supervision during nap time. Refer to .0601(a). All preschool children needs to be monitored during rest time. Upon checking each child, the child's face must be reviewed for breathing and change in color. Monitoring each child's chest movements are also effective. In order to monitor the colors of face and lips, you must make sure that their whole faces are visible. 840: Storage of hazardous materials Aerosol cans must be stored in a locked storage or removed from the classroom so that the items are not accessible to the children. Lockbox are effective storage to store those items. However, the box must be actually locked. Refer to 15 NCAC 18A .2820(d). The keys to the lock shall not remain on the lock, and the numbers on the combination shall be changed upon locking the box. Otherwise, they are not considered locked. 841: medication storage Non-emergency prescription items must be stored in a locked storage. Refer to 15A NCAC .2820(d). Please removed the Nystatin from the plastic box in room #410 and store it in a locked box. 847: Medication authorization form Medication authorization forms must be valid. Please make sure that the parents fill out the entire form, including the accurate name of the product, signature and date. All authorization form must be renewed before the expiration date. No staff members shall apply the cream when the authorization form is expired until the parents submit the new one. 849: expired medication All expired medications, including over-the-counter creams and sprays must be sent home or discarded within seventy-two (72) hours of expiration dates. Please remove the expired creams and sprays from the classroom and return them to the parents. 851: Medication logs When prescription or over-the-counter medication is administered, the following information must be recorded. Over-the-counter creams and sprays do not require the log. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a)the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. I recommend you use the form you can access and print on the Division's website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. In the form from the Division, all the required information is included. 1048: First Aid & 1049: CPR First aid and CPR certificates must be obtained within ninety (90) days of employment and renewed thereafter without lapse. Refer to .1102(c). To be compliance with this item, the certification for the training must be maintained in the file. 1811: Shelter-in-place drill A shelter-in-place or a lockdown drill must be conducted every three (3) months. Refer to .0604(u). You must complete the shelter-in-place drill immediately. 1825: EPR review The program’s EPR plan must be reviewed with staff members upon initial hiring and annually, and the documentation of the review must be maintained. Refer to .0607(f). Make sure that staff members fill out the form entirely including the date (day, month and year) of the review. 1915: Wading Pool Wading pools or any other equipment that holds water to meet the purpose of wading pool is prohibited. Refer to .1403(b) (1-5). Immediately remove the wading pools and make sure that they are not accessible to the children. 9995: storage of staff members’ belongings Staff members’ belongings must be inaccessible to the children. It does not have to stored in a locked storage. However, they must be stored at least five (5) feet above or cabinet with baby proof devices. Refer to 15A NCAC 18A .2826(f). New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Due to sixteen (16) or more violation, a follow-up visit will be conducted. Additionally, you may be warranted administrative action. 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed administrative action. I explained the appeal process, initial administrative action visit and follow-up visits. Reminders: Albuterol inhaler will expire in August 2025 in room #406. Parent's choice diaper rash cream in room #410 will expire in August 2025. Aveeno Eczema therapy will expire in August 2025 in room #416. Boudreaux's Butt paste will expire in July 2025 in room #419. Boudreaux's Butt paste and Aquaphor will expire in July 2025 in room #417. Boudreaux's Butt Paste will expire in August 2025 in room #422. Boudreaux's Butt Paste will expire in July 2025, in room #418. Evacuation crib: Nothing should be stored in evacuation cribs so that they are ready for use anytime an emergency occurs. Sleep sacks: sleep sacks maybe used for infants, but not anything that swaddles. Weighted sleep sacks shall be avoided. AAP considered weighted sleep sacks are unsafe and increase the chance of SIDS. Please consider not over bundling. Over bundling could lead to overheating which is another risk for SIDS. Removal of licensed space: The children at your facility cannot use the same space as children in unlicensed program at the same time. Simply, the children enrolled in summer camp cannot use the licensed space during operating hours. Ms. Lovelace and I discussed this matter for the use of room #405 by the children enrolled in summer camp not operated by the program. Based on the conversation, Ms. Lovelace emailed me during the visit and requested the room #405 to be removed from the licensed space. Based on the request, space #2 is removed from the licensed space effective June 23, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. 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. 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2025 Number Present: 112 Completed Date: 6/23/2025 Age: From 0 To 12 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A hand-written visit summary was created during the visit due to time constraints created by the numbers of new staff files as well as numbers of violations cited during today's visit. The hand-written summary was reviewed and signed by Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator during the visit. A computerized generated report of today’s visit was created at HQ on the same day. Additional details were added in the computerized generated visit summary. Ms. Lovelace was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. Permit type – G.S. 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 6/9/25. The last shelter-in-place drill was practiced on 2/27/25. The last playground inspection was documented on 6/2/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/19/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 12/11/23 with potential hazards. Lead paint and asbestos testing was completed on 8/14/24 and the building was exempt. Upon arrival, I announce my presence and the purpose of the visit. Children were observed in all classrooms. In space #1, a group of six (6) children, four-to-five years of age, had cereal, cut cantaloupes, and milk for breakfast. Cereal, oranges and milk were listed on the menu posted in the lobby area. In space #2, a group of thirteen (13) children were present with two (2) staff members and two (2) volunteers. The children were attending summer camp at this site. One (1) of the children, a five (5) year old rising Kindergartener, was moved to the preschool during the day. The summer camp was intended for school-age children, five (5) to twelve (12) years old. The rising Kindergartener was enrolled mistakenly in the summer camp. Per Ms. Lovelace, the summer camp is not operated by the licensed preschool program. To transfer the rising Kindergartener to the preschool program, the child’s file information had to be transferred accordingly. According to Ms. Lovelace, the application used for both the summer camp and the preschool program is the same. I observed the transition procedures in space #3. The staff members conducted a name-to-face count prior to exiting the classroom. One (1) support staff member assisted with the transition. As the children crossed the threshold, the support staff member counted them by pointing at each child without directly touching them. In space #8, a group of twelve (12) children, two (2) years of age, were present in the classroom. The children engaged in free play with dress up clothes, pretend food, a climber, magnetic tiles and other materials. In space #9, a group of nine (9) children, one-to-two years of age, explored the environment. They carried instruments and rattles around the classroom. Water play was conducted for infant classrooms during the visit. The children in space #13, #14, and #15 played with splash pad. Non-mobile children were placed on the chairs. Two (2) wading pools were accessible to the children. The depth of water in one (1) of the wading pools were approximately five (5) inches. The depth of water in the other equipment was approximately six (6) inches. This equipment could be used for sandbox, but it was used as wading pool. No infants were observed in either of the wading pools, but they were easily accessible. Prescription medications and over-the-counter creams/sprays were monitored. In space #3, an inhaler was maintained appropriately with action plan and authorization form. However, the medication log had a checkmark on 3/12/25 with no other information. In space #7, one (1) prescription ointment/cream was maintained in the plastic container on top shelf, and the cabinet was not locked. One (1) prescription was maintained in the walk-in refrigerator in the kitchen. The action plan and authorization form were valid. Lunch was served during the visit: sliced sausages and pasta in Alfredo sauce, sliced cucumbers, pineapples, and milk. I observed mealtime in space #11. Three (3) children brought meals from home. In space #11, one (1) child under twelve (12) months of age was present. The child was served the same food as the others. No feeding plan was posted. The infant reached out to the ranch dressing, touched it with their hands, and began licking their hands. One (1) staff member then sat next to the child and assisted with feeding. The sausages were removed from the pasta after the child had already been served and had begun eating the meal. The sausage pieces were approximately two (2) cm wide, one point five (1.5) cm in depth and five (5) mm thick. Rest time was observed in all classrooms except for space #3. Across fifteen (15) classrooms, thirteen (13) children had their faces partially or fully covered by their blankets. Infant sleep charts were logged in the app. The infant in space #11 was not asleep on the cot but was playing with a scarf and four (4) pretend animals. No blanket was provided to the child. Four (4) children in space #13 used sleep sacks requested by the parent. The playgrounds were monitored and no safety hazards were found. Thirty-three (33) existing files were reviewed for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates for those who are required to have. Twenty-one (21) new staff files were partially monitored. Due to not all file monitoring was completed, a follow-up visit may be conducted. During the follow-up visit, additional violations may be cited. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio sheet was not posted in room #418. .0713(a)(10), (c) & (f)(3); .2818(e) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts. .0901(g) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu. 10A NCAC 09 .0901(b) 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. In room #422, one (1) child's bottles were not dated. In #420, one (1) child's bottles were labeled with the dates, June 20. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child's feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In room #422, one (1) child's feeding plan was not signed by the parent. Also in room #419, one (1) child's feeding plan was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Across fifteen (15) classrooms, a total of thirteen (13) children's faces were covered by their blankets fully or partially but were not removed from their face by the staff members. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux's Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included. .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member, LP, who was hired on 6/2/25, did not have medical report in the file. 10A NCAC 09 .0701(a) 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. A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division's website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation. .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. One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file. .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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25). G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was completed on 2/27/25. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25). .0701(d) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. Wading pools were accessible and offered to infants during water play. .1403(b)(1-5) 9995 Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter. Technical assistance was provided as follows: 319: staff/child ratio sheet Staff/child ratio sheet must be posted in each classroom and licensed space. In most classrooms, the staff/child ratio sheet was posted but no information was filled out. In room #408, a voluntary enhanced ratio was checked. Please review the staff/child ratio sheet in all classrooms and write/check the correct information. The program goes by the minimum staff/child ratios. 508: allergy information Allergy information and special diet must be posted in the eating area. Refer to .0901(g). Allergy information must be easily visible in each classroom to prevent food-based allergic reaction. Many staff members rather than regular classroom teachers goes in and out of each classroom at your facility. Please make sure that all staff members are aware of the location of the information sheet in each classroom and follow the directions. 528: substitution When substitution items are served for meals and snacks, the item(s) must be recorded on the menu prior to serving the children. Refer to .0901(b). Parents must be informed of the changes in their child's meals. You must correct the menu prior to serving children. 533: bottles Children’s bottles must be accurately labeled with the child’s name and the date. Upon arrival, please make sure that all bottles are accurately labeled with the child’s name and the date. If not, please make the correction as needed. Refer to 15A NCAC 18A .2804(d). Labeling correct information, including the child's name and the date it was prepared prevents food-born illnesses and errors. Each morning, staff members shall inspect each child's bottles and make necessary corrections. 540 & 541: Feeding plans Feeding plans are required for all children under fifteen (15) months old. The plans must be signed by the parent and be posted in the classroom. Refer to .0902(a). Please obtain the signature for parents and post the plans for all children under fifteen (15) months of age, in space #9, #10, #11, #12, #13, #14 and #15. Feeding plans are the guide to the staff members. If the feeding plans do not match what children are being fed, the plan must be updated. 608: Hand Washing Children’s hands must be washed with soap and water after each diaper change. Refer to 15A NCAC .2803(c). If an infant is unable to hold his/her head, you can still wash his/her hands by laying the child in one arm and switch to the other side. Follow the guidance on the diaper changing chart in your classroom. 807: Safe environment When children’s faces are covered by blankets fully or partially, the staff members must remove the blanket off their faces for adequate supervision during nap time. Refer to .0601(a). All preschool children needs to be monitored during rest time. Upon checking each child, the child's face must be reviewed for breathing and change in color. Monitoring each child's chest movements are also effective. In order to monitor the colors of face and lips, you must make sure that their whole faces are visible. 840: Storage of hazardous materials Aerosol cans must be stored in a locked storage or removed from the classroom so that the items are not accessible to the children. Lockbox are effective storage to store those items. However, the box must be actually locked. Refer to 15 NCAC 18A .2820(d). The keys to the lock shall not remain on the lock, and the numbers on the combination shall be changed upon locking the box. Otherwise, they are not considered locked. 841: medication storage Non-emergency prescription items must be stored in a locked storage. Refer to 15A NCAC .2820(d). Please removed the Nystatin from the plastic box in room #410 and store it in a locked box. 847: Medication authorization form Medication authorization forms must be valid. Please make sure that the parents fill out the entire form, including the accurate name of the product, signature and date. All authorization form must be renewed before the expiration date. No staff members shall apply the cream when the authorization form is expired until the parents submit the new one. 849: expired medication All expired medications, including over-the-counter creams and sprays must be sent home or discarded within seventy-two (72) hours of expiration dates. Please remove the expired creams and sprays from the classroom and return them to the parents. 851: Medication logs When prescription or over-the-counter medication is administered, the following information must be recorded. Over-the-counter creams and sprays do not require the log. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a)the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. I recommend you use the form you can access and print on the Division's website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. In the form from the Division, all the required information is included. 1048: First Aid & 1049: CPR First aid and CPR certificates must be obtained within ninety (90) days of employment and renewed thereafter without lapse. Refer to .1102(c). To be compliance with this item, the certification for the training must be maintained in the file. 1811: Shelter-in-place drill A shelter-in-place or a lockdown drill must be conducted every three (3) months. Refer to .0604(u). You must complete the shelter-in-place drill immediately. 1825: EPR review The program’s EPR plan must be reviewed with staff members upon initial hiring and annually, and the documentation of the review must be maintained. Refer to .0607(f). Make sure that staff members fill out the form entirely including the date (day, month and year) of the review. 1915: Wading Pool Wading pools or any other equipment that holds water to meet the purpose of wading pool is prohibited. Refer to .1403(b) (1-5). Immediately remove the wading pools and make sure that they are not accessible to the children. 9995: storage of staff members’ belongings Staff members’ belongings must be inaccessible to the children. It does not have to stored in a locked storage. However, they must be stored at least five (5) feet above or cabinet with baby proof devices. Refer to 15A NCAC 18A .2826(f). New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Due to sixteen (16) or more violation, a follow-up visit will be conducted. Additionally, you may be warranted administrative action. 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed administrative action. I explained the appeal process, initial administrative action visit and follow-up visits. Reminders: Albuterol inhaler will expire in August 2025 in room #406. Parent's choice diaper rash cream in room #410 will expire in August 2025. Aveeno Eczema therapy will expire in August 2025 in room #416. Boudreaux's Butt paste will expire in July 2025 in room #419. Boudreaux's Butt paste and Aquaphor will expire in July 2025 in room #417. Boudreaux's Butt Paste will expire in August 2025 in room #422. Boudreaux's Butt Paste will expire in July 2025, in room #418. Evacuation crib: Nothing should be stored in evacuation cribs so that they are ready for use anytime an emergency occurs. Sleep sacks: sleep sacks maybe used for infants, but not anything that swaddles. Weighted sleep sacks shall be avoided. AAP considered weighted sleep sacks are unsafe and increase the chance of SIDS. Please consider not over bundling. Over bundling could lead to overheating which is another risk for SIDS. Removal of licensed space: The children at your facility cannot use the same space as children in unlicensed program at the same time. Simply, the children enrolled in summer camp cannot use the licensed space during operating hours. Ms. Lovelace and I discussed this matter for the use of room #405 by the children enrolled in summer camp not operated by the program. Based on the conversation, Ms. Lovelace emailed me during the visit and requested the room #405 to be removed from the licensed space. Based on the request, space #2 is removed from the licensed space effective June 23, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. 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: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2025 Number Present: 112 Completed Date: 6/23/2025 Age: From 0 To 12 Total Minutes: 440 Time In: 09:40 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A hand-written visit summary was created during the visit due to time constraints created by the numbers of new staff files as well as numbers of violations cited during today's visit. The hand-written summary was reviewed and signed by Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator during the visit. A computerized generated report of today’s visit was created at HQ on the same day. Additional details were added in the computerized generated visit summary. Ms. Lovelace was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. Permit type – G.S. 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 6/9/25. The last shelter-in-place drill was practiced on 2/27/25. The last playground inspection was documented on 6/2/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/19/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 12/11/23 with potential hazards. Lead paint and asbestos testing was completed on 8/14/24 and the building was exempt. Upon arrival, I announce my presence and the purpose of the visit. Children were observed in all classrooms. In space #1, a group of six (6) children, four-to-five years of age, had cereal, cut cantaloupes, and milk for breakfast. Cereal, oranges and milk were listed on the menu posted in the lobby area. In space #2, a group of thirteen (13) children were present with two (2) staff members and two (2) volunteers. The children were attending summer camp at this site. One (1) of the children, a five (5) year old rising Kindergartener, was moved to the preschool during the day. The summer camp was intended for school-age children, five (5) to twelve (12) years old. The rising Kindergartener was enrolled mistakenly in the summer camp. Per Ms. Lovelace, the summer camp is not operated by the licensed preschool program. To transfer the rising Kindergartener to the preschool program, the child’s file information had to be transferred accordingly. According to Ms. Lovelace, the application used for both the summer camp and the preschool program is the same. I observed the transition procedures in space #3. The staff members conducted a name-to-face count prior to exiting the classroom. One (1) support staff member assisted with the transition. As the children crossed the threshold, the support staff member counted them by pointing at each child without directly touching them. In space #8, a group of twelve (12) children, two (2) years of age, were present in the classroom. The children engaged in free play with dress up clothes, pretend food, a climber, magnetic tiles and other materials. In space #9, a group of nine (9) children, one-to-two years of age, explored the environment. They carried instruments and rattles around the classroom. Water play was conducted for infant classrooms during the visit. The children in space #13, #14, and #15 played with splash pad. Non-mobile children were placed on the chairs. Two (2) wading pools were accessible to the children. The depth of water in one (1) of the wading pools were approximately five (5) inches. The depth of water in the other equipment was approximately six (6) inches. This equipment could be used for sandbox, but it was used as wading pool. No infants were observed in either of the wading pools, but they were easily accessible. Prescription medications and over-the-counter creams/sprays were monitored. In space #3, an inhaler was maintained appropriately with action plan and authorization form. However, the medication log had a checkmark on 3/12/25 with no other information. In space #7, one (1) prescription ointment/cream was maintained in the plastic container on top shelf, and the cabinet was not locked. One (1) prescription was maintained in the walk-in refrigerator in the kitchen. The action plan and authorization form were valid. Lunch was served during the visit: sliced sausages and pasta in Alfredo sauce, sliced cucumbers, pineapples, and milk. I observed mealtime in space #11. Three (3) children brought meals from home. In space #11, one (1) child under twelve (12) months of age was present. The child was served the same food as the others. No feeding plan was posted. The infant reached out to the ranch dressing, touched it with their hands, and began licking their hands. One (1) staff member then sat next to the child and assisted with feeding. The sausages were removed from the pasta after the child had already been served and had begun eating the meal. The sausage pieces were approximately two (2) cm wide, one point five (1.5) cm in depth and five (5) mm thick. Rest time was observed in all classrooms except for space #3. Across fifteen (15) classrooms, thirteen (13) children had their faces partially or fully covered by their blankets. Infant sleep charts were logged in the app. The infant in space #11 was not asleep on the cot but was playing with a scarf and four (4) pretend animals. No blanket was provided to the child. Four (4) children in space #13 used sleep sacks requested by the parent. The playgrounds were monitored and no safety hazards were found. Thirty-three (33) existing files were reviewed for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates for those who are required to have. Twenty-one (21) new staff files were partially monitored. Due to not all file monitoring was completed, a follow-up visit may be conducted. During the follow-up visit, additional violations may be cited. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio sheet was not posted in room #418. .0713(a)(10), (c) & (f)(3); .2818(e) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts. .0901(g) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu. 10A NCAC 09 .0901(b) 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. In room #422, one (1) child's bottles were not dated. In #420, one (1) child's bottles were labeled with the dates, June 20. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child's feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In room #422, one (1) child's feeding plan was not signed by the parent. Also in room #419, one (1) child's feeding plan was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Across fifteen (15) classrooms, a total of thirteen (13) children's faces were covered by their blankets fully or partially but were not removed from their face by the staff members. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux's Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included. .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member, LP, who was hired on 6/2/25, did not have medical report in the file. 10A NCAC 09 .0701(a) 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. A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division's website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation. .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. One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file. .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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25). G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was completed on 2/27/25. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25). .0701(d) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. Wading pools were accessible and offered to infants during water play. .1403(b)(1-5) 9995 Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter. Technical assistance was provided as follows: 319: staff/child ratio sheet Staff/child ratio sheet must be posted in each classroom and licensed space. In most classrooms, the staff/child ratio sheet was posted but no information was filled out. In room #408, a voluntary enhanced ratio was checked. Please review the staff/child ratio sheet in all classrooms and write/check the correct information. The program goes by the minimum staff/child ratios. 508: allergy information Allergy information and special diet must be posted in the eating area. Refer to .0901(g). Allergy information must be easily visible in each classroom to prevent food-based allergic reaction. Many staff members rather than regular classroom teachers goes in and out of each classroom at your facility. Please make sure that all staff members are aware of the location of the information sheet in each classroom and follow the directions. 528: substitution When substitution items are served for meals and snacks, the item(s) must be recorded on the menu prior to serving the children. Refer to .0901(b). Parents must be informed of the changes in their child's meals. You must correct the menu prior to serving children. 533: bottles Children’s bottles must be accurately labeled with the child’s name and the date. Upon arrival, please make sure that all bottles are accurately labeled with the child’s name and the date. If not, please make the correction as needed. Refer to 15A NCAC 18A .2804(d). Labeling correct information, including the child's name and the date it was prepared prevents food-born illnesses and errors. Each morning, staff members shall inspect each child's bottles and make necessary corrections. 540 & 541: Feeding plans Feeding plans are required for all children under fifteen (15) months old. The plans must be signed by the parent and be posted in the classroom. Refer to .0902(a). Please obtain the signature for parents and post the plans for all children under fifteen (15) months of age, in space #9, #10, #11, #12, #13, #14 and #15. Feeding plans are the guide to the staff members. If the feeding plans do not match what children are being fed, the plan must be updated. 608: Hand Washing Children’s hands must be washed with soap and water after each diaper change. Refer to 15A NCAC .2803(c). If an infant is unable to hold his/her head, you can still wash his/her hands by laying the child in one arm and switch to the other side. Follow the guidance on the diaper changing chart in your classroom. 807: Safe environment When children’s faces are covered by blankets fully or partially, the staff members must remove the blanket off their faces for adequate supervision during nap time. Refer to .0601(a). All preschool children needs to be monitored during rest time. Upon checking each child, the child's face must be reviewed for breathing and change in color. Monitoring each child's chest movements are also effective. In order to monitor the colors of face and lips, you must make sure that their whole faces are visible. 840: Storage of hazardous materials Aerosol cans must be stored in a locked storage or removed from the classroom so that the items are not accessible to the children. Lockbox are effective storage to store those items. However, the box must be actually locked. Refer to 15 NCAC 18A .2820(d). The keys to the lock shall not remain on the lock, and the numbers on the combination shall be changed upon locking the box. Otherwise, they are not considered locked. 841: medication storage Non-emergency prescription items must be stored in a locked storage. Refer to 15A NCAC .2820(d). Please removed the Nystatin from the plastic box in room #410 and store it in a locked box. 847: Medication authorization form Medication authorization forms must be valid. Please make sure that the parents fill out the entire form, including the accurate name of the product, signature and date. All authorization form must be renewed before the expiration date. No staff members shall apply the cream when the authorization form is expired until the parents submit the new one. 849: expired medication All expired medications, including over-the-counter creams and sprays must be sent home or discarded within seventy-two (72) hours of expiration dates. Please remove the expired creams and sprays from the classroom and return them to the parents. 851: Medication logs When prescription or over-the-counter medication is administered, the following information must be recorded. Over-the-counter creams and sprays do not require the log. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a)the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. I recommend you use the form you can access and print on the Division's website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. In the form from the Division, all the required information is included. 1048: First Aid & 1049: CPR First aid and CPR certificates must be obtained within ninety (90) days of employment and renewed thereafter without lapse. Refer to .1102(c). To be compliance with this item, the certification for the training must be maintained in the file. 1811: Shelter-in-place drill A shelter-in-place or a lockdown drill must be conducted every three (3) months. Refer to .0604(u). You must complete the shelter-in-place drill immediately. 1825: EPR review The program’s EPR plan must be reviewed with staff members upon initial hiring and annually, and the documentation of the review must be maintained. Refer to .0607(f). Make sure that staff members fill out the form entirely including the date (day, month and year) of the review. 1915: Wading Pool Wading pools or any other equipment that holds water to meet the purpose of wading pool is prohibited. Refer to .1403(b) (1-5). Immediately remove the wading pools and make sure that they are not accessible to the children. 9995: storage of staff members’ belongings Staff members’ belongings must be inaccessible to the children. It does not have to stored in a locked storage. However, they must be stored at least five (5) feet above or cabinet with baby proof devices. Refer to 15A NCAC 18A .2826(f). New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Due to sixteen (16) or more violation, a follow-up visit will be conducted. Additionally, you may be warranted administrative action. 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed administrative action. I explained the appeal process, initial administrative action visit and follow-up visits. Reminders: Albuterol inhaler will expire in August 2025 in room #406. Parent's choice diaper rash cream in room #410 will expire in August 2025. Aveeno Eczema therapy will expire in August 2025 in room #416. Boudreaux's Butt paste will expire in July 2025 in room #419. Boudreaux's Butt paste and Aquaphor will expire in July 2025 in room #417. Boudreaux's Butt Paste will expire in August 2025 in room #422. Boudreaux's Butt Paste will expire in July 2025, in room #418. Evacuation crib: Nothing should be stored in evacuation cribs so that they are ready for use anytime an emergency occurs. Sleep sacks: sleep sacks maybe used for infants, but not anything that swaddles. Weighted sleep sacks shall be avoided. AAP considered weighted sleep sacks are unsafe and increase the chance of SIDS. Please consider not over bundling. Over bundling could lead to overheating which is another risk for SIDS. Removal of licensed space: The children at your facility cannot use the same space as children in unlicensed program at the same time. Simply, the children enrolled in summer camp cannot use the licensed space during operating hours. Ms. Lovelace and I discussed this matter for the use of room #405 by the children enrolled in summer camp not operated by the program. Based on the conversation, Ms. Lovelace emailed me during the visit and requested the room #405 to be removed from the licensed space. Based on the request, space #2 is removed from the licensed space effective June 23, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. 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 .0604 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/28/2025 Number Present: 107 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 148 Time In: 08:47 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to follow-up on the investigate allegations of child care requirements conducted on May 19, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on May 15, 2025, and sent to me on May 16, 2025. The investigation was completed on May 19, 2025, and the allegation of supervision was substantiated. Limited monitoring of child care rules were conducted during today’s visit including but not limited to supervision. Upon arrival, I announced my presence and the purpose of the visit. I observed the transitions during the busy morning hours. Between 8:47 am and 9:45 am, many children were dropped off in different classrooms. Staff members moved in and out of classrooms delivering breakfast and supplies, and multiple classrooms used the bathrooms. A total of five (5) transitions were observed. The transitions began at approximately 8:58 am. Five (5) children from room 409 transitioned to the bathroom and used the boys’ bathroom. Name-to-face counts were conducted before entering and after exiting the bathroom. Threshold counts were not taken. Next, ten (10) children from room 406 transitioned to the bathroom. When the group exited the girls’ bathroom, threshold counts were taken. Twelve (12) children from room 408 transitioned to the bathroom. Three staff members, including two (2) regular classroom teachers and one (1) supporting personnel, were present. A threshold count was conducted by the supporting personnel upon exiting the bathroom. Nine (9) children from room 405 used the bathroom. Upon arrival, as a staff member opened the bathroom door, one (1) child ran into the bathroom. The staff member called the child back to the line and performed a name-to-face count by touching each child's head and calling their name. Threshold counts were also observed upon exiting the bathroom and re-entering the classroom. The children from room 408 transitioned from the bathroom to the playground. On their way, the group stopped at a single bathroom so one (1) child could use it. The remaining children waited in the hallway with two (2) staff members, who played a game to successfully manage behavior. The third staff member assisted the child in the bathroom and later held the doors open while conducting a threshold count by touching each child’s head. I observed seven (7) parents drop off their children, all of whom signed in using the kiosk in the lobby. Some classrooms were using different walking ropes than during the previous visit. This time, ropes with fabric handles were used instead of plastic rings. I discussed the parent sign-in process and drop-off cut-off time with Ms. Lovelace. She stated that the drop-off cut-off time is 9:30 am, except for staff members’ children. Most parents sign their children in at the lobby area before bringing them to the classrooms. To avoid errors, each classroom is required to review attendance at 9:30 am. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in the hallway were not covered by the safety covers. 10A NCAC 09 .0604(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In two (2) classrooms, two (2) transparent cups—one containing a brown liquid and the other a dark brown or black liquid—were observed within reach of children. One (1) cup was on the shelf by the door and the other (1) on the counter, both within reachable distance for the children. .0901(i) Technical assistance was provided as follows: 812: Electric Outlet Per 10A NCAC 09 .0604(c), outlets must be covered with safety covers. Please ensure two (2) outlets in the hallway are covered. Communicate with the cleaning crew to confirm that outlets are properly covered after cleaning. 1792: Model Eating Habits Staff members must model appropriate eating habits. Transparent cups showing the contents of beverages are discouraged. Beverages with high caffeine content must be consumed outside of the classroom (e.g., in the break room) and kept inaccessible to children. If a child accidentally consumes such a beverage, Poison Control must be contacted immediately. Refer to 10A NCAC 09 .0901(j). Achieving Compliance: Based on the findings during a complaint conducted on May 19, 2025, it may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/28/2025 Number Present: 107 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 148 Time In: 08:47 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to follow-up on the investigate allegations of child care requirements conducted on May 19, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on May 15, 2025, and sent to me on May 16, 2025. The investigation was completed on May 19, 2025, and the allegation of supervision was substantiated. Limited monitoring of child care rules were conducted during today’s visit including but not limited to supervision. Upon arrival, I announced my presence and the purpose of the visit. I observed the transitions during the busy morning hours. Between 8:47 am and 9:45 am, many children were dropped off in different classrooms. Staff members moved in and out of classrooms delivering breakfast and supplies, and multiple classrooms used the bathrooms. A total of five (5) transitions were observed. The transitions began at approximately 8:58 am. Five (5) children from room 409 transitioned to the bathroom and used the boys’ bathroom. Name-to-face counts were conducted before entering and after exiting the bathroom. Threshold counts were not taken. Next, ten (10) children from room 406 transitioned to the bathroom. When the group exited the girls’ bathroom, threshold counts were taken. Twelve (12) children from room 408 transitioned to the bathroom. Three staff members, including two (2) regular classroom teachers and one (1) supporting personnel, were present. A threshold count was conducted by the supporting personnel upon exiting the bathroom. Nine (9) children from room 405 used the bathroom. Upon arrival, as a staff member opened the bathroom door, one (1) child ran into the bathroom. The staff member called the child back to the line and performed a name-to-face count by touching each child's head and calling their name. Threshold counts were also observed upon exiting the bathroom and re-entering the classroom. The children from room 408 transitioned from the bathroom to the playground. On their way, the group stopped at a single bathroom so one (1) child could use it. The remaining children waited in the hallway with two (2) staff members, who played a game to successfully manage behavior. The third staff member assisted the child in the bathroom and later held the doors open while conducting a threshold count by touching each child’s head. I observed seven (7) parents drop off their children, all of whom signed in using the kiosk in the lobby. Some classrooms were using different walking ropes than during the previous visit. This time, ropes with fabric handles were used instead of plastic rings. I discussed the parent sign-in process and drop-off cut-off time with Ms. Lovelace. She stated that the drop-off cut-off time is 9:30 am, except for staff members’ children. Most parents sign their children in at the lobby area before bringing them to the classrooms. To avoid errors, each classroom is required to review attendance at 9:30 am. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in the hallway were not covered by the safety covers. 10A NCAC 09 .0604(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In two (2) classrooms, two (2) transparent cups—one containing a brown liquid and the other a dark brown or black liquid—were observed within reach of children. One (1) cup was on the shelf by the door and the other (1) on the counter, both within reachable distance for the children. .0901(i) Technical assistance was provided as follows: 812: Electric Outlet Per 10A NCAC 09 .0604(c), outlets must be covered with safety covers. Please ensure two (2) outlets in the hallway are covered. Communicate with the cleaning crew to confirm that outlets are properly covered after cleaning. 1792: Model Eating Habits Staff members must model appropriate eating habits. Transparent cups showing the contents of beverages are discouraged. Beverages with high caffeine content must be consumed outside of the classroom (e.g., in the break room) and kept inaccessible to children. If a child accidentally consumes such a beverage, Poison Control must be contacted immediately. Refer to 10A NCAC 09 .0901(j). Achieving Compliance: Based on the findings during a complaint conducted on May 19, 2025, it may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .0901 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/28/2025 Number Present: 107 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 148 Time In: 08:47 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to follow-up on the investigate allegations of child care requirements conducted on May 19, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on May 15, 2025, and sent to me on May 16, 2025. The investigation was completed on May 19, 2025, and the allegation of supervision was substantiated. Limited monitoring of child care rules were conducted during today’s visit including but not limited to supervision. Upon arrival, I announced my presence and the purpose of the visit. I observed the transitions during the busy morning hours. Between 8:47 am and 9:45 am, many children were dropped off in different classrooms. Staff members moved in and out of classrooms delivering breakfast and supplies, and multiple classrooms used the bathrooms. A total of five (5) transitions were observed. The transitions began at approximately 8:58 am. Five (5) children from room 409 transitioned to the bathroom and used the boys’ bathroom. Name-to-face counts were conducted before entering and after exiting the bathroom. Threshold counts were not taken. Next, ten (10) children from room 406 transitioned to the bathroom. When the group exited the girls’ bathroom, threshold counts were taken. Twelve (12) children from room 408 transitioned to the bathroom. Three staff members, including two (2) regular classroom teachers and one (1) supporting personnel, were present. A threshold count was conducted by the supporting personnel upon exiting the bathroom. Nine (9) children from room 405 used the bathroom. Upon arrival, as a staff member opened the bathroom door, one (1) child ran into the bathroom. The staff member called the child back to the line and performed a name-to-face count by touching each child's head and calling their name. Threshold counts were also observed upon exiting the bathroom and re-entering the classroom. The children from room 408 transitioned from the bathroom to the playground. On their way, the group stopped at a single bathroom so one (1) child could use it. The remaining children waited in the hallway with two (2) staff members, who played a game to successfully manage behavior. The third staff member assisted the child in the bathroom and later held the doors open while conducting a threshold count by touching each child’s head. I observed seven (7) parents drop off their children, all of whom signed in using the kiosk in the lobby. Some classrooms were using different walking ropes than during the previous visit. This time, ropes with fabric handles were used instead of plastic rings. I discussed the parent sign-in process and drop-off cut-off time with Ms. Lovelace. She stated that the drop-off cut-off time is 9:30 am, except for staff members’ children. Most parents sign their children in at the lobby area before bringing them to the classrooms. To avoid errors, each classroom is required to review attendance at 9:30 am. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in the hallway were not covered by the safety covers. 10A NCAC 09 .0604(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In two (2) classrooms, two (2) transparent cups—one containing a brown liquid and the other a dark brown or black liquid—were observed within reach of children. One (1) cup was on the shelf by the door and the other (1) on the counter, both within reachable distance for the children. .0901(i) Technical assistance was provided as follows: 812: Electric Outlet Per 10A NCAC 09 .0604(c), outlets must be covered with safety covers. Please ensure two (2) outlets in the hallway are covered. Communicate with the cleaning crew to confirm that outlets are properly covered after cleaning. 1792: Model Eating Habits Staff members must model appropriate eating habits. Transparent cups showing the contents of beverages are discouraged. Beverages with high caffeine content must be consumed outside of the classroom (e.g., in the break room) and kept inaccessible to children. If a child accidentally consumes such a beverage, Poison Control must be contacted immediately. Refer to 10A NCAC 09 .0901(j). Achieving Compliance: Based on the findings during a complaint conducted on May 19, 2025, it may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .2201 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/28/2025 Number Present: 107 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 148 Time In: 08:47 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to follow-up on the investigate allegations of child care requirements conducted on May 19, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on May 15, 2025, and sent to me on May 16, 2025. The investigation was completed on May 19, 2025, and the allegation of supervision was substantiated. Limited monitoring of child care rules were conducted during today’s visit including but not limited to supervision. Upon arrival, I announced my presence and the purpose of the visit. I observed the transitions during the busy morning hours. Between 8:47 am and 9:45 am, many children were dropped off in different classrooms. Staff members moved in and out of classrooms delivering breakfast and supplies, and multiple classrooms used the bathrooms. A total of five (5) transitions were observed. The transitions began at approximately 8:58 am. Five (5) children from room 409 transitioned to the bathroom and used the boys’ bathroom. Name-to-face counts were conducted before entering and after exiting the bathroom. Threshold counts were not taken. Next, ten (10) children from room 406 transitioned to the bathroom. When the group exited the girls’ bathroom, threshold counts were taken. Twelve (12) children from room 408 transitioned to the bathroom. Three staff members, including two (2) regular classroom teachers and one (1) supporting personnel, were present. A threshold count was conducted by the supporting personnel upon exiting the bathroom. Nine (9) children from room 405 used the bathroom. Upon arrival, as a staff member opened the bathroom door, one (1) child ran into the bathroom. The staff member called the child back to the line and performed a name-to-face count by touching each child's head and calling their name. Threshold counts were also observed upon exiting the bathroom and re-entering the classroom. The children from room 408 transitioned from the bathroom to the playground. On their way, the group stopped at a single bathroom so one (1) child could use it. The remaining children waited in the hallway with two (2) staff members, who played a game to successfully manage behavior. The third staff member assisted the child in the bathroom and later held the doors open while conducting a threshold count by touching each child’s head. I observed seven (7) parents drop off their children, all of whom signed in using the kiosk in the lobby. Some classrooms were using different walking ropes than during the previous visit. This time, ropes with fabric handles were used instead of plastic rings. I discussed the parent sign-in process and drop-off cut-off time with Ms. Lovelace. She stated that the drop-off cut-off time is 9:30 am, except for staff members’ children. Most parents sign their children in at the lobby area before bringing them to the classrooms. To avoid errors, each classroom is required to review attendance at 9:30 am. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in the hallway were not covered by the safety covers. 10A NCAC 09 .0604(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In two (2) classrooms, two (2) transparent cups—one containing a brown liquid and the other a dark brown or black liquid—were observed within reach of children. One (1) cup was on the shelf by the door and the other (1) on the counter, both within reachable distance for the children. .0901(i) Technical assistance was provided as follows: 812: Electric Outlet Per 10A NCAC 09 .0604(c), outlets must be covered with safety covers. Please ensure two (2) outlets in the hallway are covered. Communicate with the cleaning crew to confirm that outlets are properly covered after cleaning. 1792: Model Eating Habits Staff members must model appropriate eating habits. Transparent cups showing the contents of beverages are discouraged. Beverages with high caffeine content must be consumed outside of the classroom (e.g., in the break room) and kept inaccessible to children. If a child accidentally consumes such a beverage, Poison Control must be contacted immediately. Refer to 10A NCAC 09 .0901(j). Achieving Compliance: Based on the findings during a complaint conducted on May 19, 2025, it may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

GS110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/28/2025 Number Present: 107 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 148 Time In: 08:47 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to follow-up on the investigate allegations of child care requirements conducted on May 19, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on May 15, 2025, and sent to me on May 16, 2025. The investigation was completed on May 19, 2025, and the allegation of supervision was substantiated. Limited monitoring of child care rules were conducted during today’s visit including but not limited to supervision. Upon arrival, I announced my presence and the purpose of the visit. I observed the transitions during the busy morning hours. Between 8:47 am and 9:45 am, many children were dropped off in different classrooms. Staff members moved in and out of classrooms delivering breakfast and supplies, and multiple classrooms used the bathrooms. A total of five (5) transitions were observed. The transitions began at approximately 8:58 am. Five (5) children from room 409 transitioned to the bathroom and used the boys’ bathroom. Name-to-face counts were conducted before entering and after exiting the bathroom. Threshold counts were not taken. Next, ten (10) children from room 406 transitioned to the bathroom. When the group exited the girls’ bathroom, threshold counts were taken. Twelve (12) children from room 408 transitioned to the bathroom. Three staff members, including two (2) regular classroom teachers and one (1) supporting personnel, were present. A threshold count was conducted by the supporting personnel upon exiting the bathroom. Nine (9) children from room 405 used the bathroom. Upon arrival, as a staff member opened the bathroom door, one (1) child ran into the bathroom. The staff member called the child back to the line and performed a name-to-face count by touching each child's head and calling their name. Threshold counts were also observed upon exiting the bathroom and re-entering the classroom. The children from room 408 transitioned from the bathroom to the playground. On their way, the group stopped at a single bathroom so one (1) child could use it. The remaining children waited in the hallway with two (2) staff members, who played a game to successfully manage behavior. The third staff member assisted the child in the bathroom and later held the doors open while conducting a threshold count by touching each child’s head. I observed seven (7) parents drop off their children, all of whom signed in using the kiosk in the lobby. Some classrooms were using different walking ropes than during the previous visit. This time, ropes with fabric handles were used instead of plastic rings. I discussed the parent sign-in process and drop-off cut-off time with Ms. Lovelace. She stated that the drop-off cut-off time is 9:30 am, except for staff members’ children. Most parents sign their children in at the lobby area before bringing them to the classrooms. To avoid errors, each classroom is required to review attendance at 9:30 am. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in the hallway were not covered by the safety covers. 10A NCAC 09 .0604(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In two (2) classrooms, two (2) transparent cups—one containing a brown liquid and the other a dark brown or black liquid—were observed within reach of children. One (1) cup was on the shelf by the door and the other (1) on the counter, both within reachable distance for the children. .0901(i) Technical assistance was provided as follows: 812: Electric Outlet Per 10A NCAC 09 .0604(c), outlets must be covered with safety covers. Please ensure two (2) outlets in the hallway are covered. Communicate with the cleaning crew to confirm that outlets are properly covered after cleaning. 1792: Model Eating Habits Staff members must model appropriate eating habits. Transparent cups showing the contents of beverages are discouraged. Beverages with high caffeine content must be consumed outside of the classroom (e.g., in the break room) and kept inaccessible to children. If a child accidentally consumes such a beverage, Poison Control must be contacted immediately. Refer to 10A NCAC 09 .0901(j). Achieving Compliance: Based on the findings during a complaint conducted on May 19, 2025, it may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/28/2025 Number Present: 107 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 148 Time In: 08:47 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to follow-up on the investigate allegations of child care requirements conducted on May 19, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on May 15, 2025, and sent to me on May 16, 2025. The investigation was completed on May 19, 2025, and the allegation of supervision was substantiated. Limited monitoring of child care rules were conducted during today’s visit including but not limited to supervision. Upon arrival, I announced my presence and the purpose of the visit. I observed the transitions during the busy morning hours. Between 8:47 am and 9:45 am, many children were dropped off in different classrooms. Staff members moved in and out of classrooms delivering breakfast and supplies, and multiple classrooms used the bathrooms. A total of five (5) transitions were observed. The transitions began at approximately 8:58 am. Five (5) children from room 409 transitioned to the bathroom and used the boys’ bathroom. Name-to-face counts were conducted before entering and after exiting the bathroom. Threshold counts were not taken. Next, ten (10) children from room 406 transitioned to the bathroom. When the group exited the girls’ bathroom, threshold counts were taken. Twelve (12) children from room 408 transitioned to the bathroom. Three staff members, including two (2) regular classroom teachers and one (1) supporting personnel, were present. A threshold count was conducted by the supporting personnel upon exiting the bathroom. Nine (9) children from room 405 used the bathroom. Upon arrival, as a staff member opened the bathroom door, one (1) child ran into the bathroom. The staff member called the child back to the line and performed a name-to-face count by touching each child's head and calling their name. Threshold counts were also observed upon exiting the bathroom and re-entering the classroom. The children from room 408 transitioned from the bathroom to the playground. On their way, the group stopped at a single bathroom so one (1) child could use it. The remaining children waited in the hallway with two (2) staff members, who played a game to successfully manage behavior. The third staff member assisted the child in the bathroom and later held the doors open while conducting a threshold count by touching each child’s head. I observed seven (7) parents drop off their children, all of whom signed in using the kiosk in the lobby. Some classrooms were using different walking ropes than during the previous visit. This time, ropes with fabric handles were used instead of plastic rings. I discussed the parent sign-in process and drop-off cut-off time with Ms. Lovelace. She stated that the drop-off cut-off time is 9:30 am, except for staff members’ children. Most parents sign their children in at the lobby area before bringing them to the classrooms. To avoid errors, each classroom is required to review attendance at 9:30 am. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in the hallway were not covered by the safety covers. 10A NCAC 09 .0604(c) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In two (2) classrooms, two (2) transparent cups—one containing a brown liquid and the other a dark brown or black liquid—were observed within reach of children. One (1) cup was on the shelf by the door and the other (1) on the counter, both within reachable distance for the children. .0901(i) Technical assistance was provided as follows: 812: Electric Outlet Per 10A NCAC 09 .0604(c), outlets must be covered with safety covers. Please ensure two (2) outlets in the hallway are covered. Communicate with the cleaning crew to confirm that outlets are properly covered after cleaning. 1792: Model Eating Habits Staff members must model appropriate eating habits. Transparent cups showing the contents of beverages are discouraged. Beverages with high caffeine content must be consumed outside of the classroom (e.g., in the break room) and kept inaccessible to children. If a child accidentally consumes such a beverage, Poison Control must be contacted immediately. Refer to 10A NCAC 09 .0901(j). Achieving Compliance: Based on the findings during a complaint conducted on May 19, 2025, it may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1801 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/19/2025 Number Present: 96 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 212 Time In: 08:58 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a GS 110-106 license issued on 10/10/24. The Special Services/Restrictions includes daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 5/15/25 and sent to me on 5/16/25. There is an allegation of violations of child care requirements regarding supervision. Per interview with Ms. Lovelace, the incident occurred on 5/12/25 at approximately 9:48 am. A child, three (3) years of age, was found unattended in space #5 (room 408) for approximately eight (8) minutes until a staff member found the child alone in the classroom, washing his/her hands. The incident occurred during the transition from the classroom to the bathroom. I interviewed two (2) staff members who were present at the time of the incident. According to the interviews, the incident occurred during the transition from the classroom to the bathroom. On typical days in space #5, a short group time is held after breakfast and before the transition to the bathroom. At this point, attendance is reviewed using the Bright Wheel app. If parents neglect to sign in their children, the children are added to the roster at that time. On 5/12/25, there were eleven (11) children, ages two-to-three years, present during group time. As the children and two (2) staff members lined up and began walking to the hallway, a child was dropped off. While the staff members greeted the parent and child, one (1) child from the line left and hid in the classroom. Both staff members stated that they counted a total of eleven (11) children—including the one who arrived during the transition—as they exited the classroom. As a result, one (1) child was left unattended in the classroom. Since the incident, several new procedures have been introduced and implemented. First, prior to the incident, parents were allowed to sign in their children either at the Kiosk in the lobby area or in the classroom. However, for the sake of accuracy in the Bright Wheel app attendance roster, parents are now required to sign in using the Kiosk only. Second, a classroom sweep is now conducted by an administrative staff member upon receiving notice of a transition via radio. Additionally, one (1) staff member was appointed as the “Hallway Operations Specialist” starting 5/13/25. The responsibilities of the Hallway Operations Specialist include, but are not limited to, managing and aiding transitions in the hallway, sharing resources with staff members, and supporting behavioral management. Third, a staff member designated as the Administrative and Training Specialist continues to conduct random observations related to classroom management, share resources with staff members, and complete administrative paperwork. Fourth, staff members who do not follow the transition protocol will receive a formal write-up. Fifth, a staff member is scheduled to receive mandatory supervision training on 5/31/25, presented by Ms. Lovelace and a Kids Ministry Coordinator from the church section. Sixth, the doors to the one (1) side of the building would remain closed during operations. Per Ms. Lovelace, two (2) staff members, who were involved in the supervision incident occurred on March 25, 2025, completed their training – Classroom Management 101. One (1) staff member completed the training on 4/16/25 and the other staff on 4/19/25. During the visit, I observed the transition procedures in space #5 (room 408). Nine (9) children, two-to-three years of age, were present with two (2) staff members. At 9:16 a.m., the children participated in group time. The lead teacher had the Bright Wheel app on a phone and reviewed attendance by conducting a name-to-face count using the app. He/she called each child’s name, asking him/her to “show his/her eyes,” and noted which children were absent. The lead teacher talked about a garden and directed the children to pretend to be roots while he/she pulled out a walking rope. During this group activity, the teacher cleaned the tables. The lead teacher referred to the children as “flowers” and called them to come to the rope. When all the children were lined up, the lead teacher instructed the teacher to conduct a sweep of the classroom, then notified administration of the transition via radio. As the teacher held the door, the lead teacher led the line. He/she took a head count through the threshold by counting the children at the front of the line. At the bathroom, the children dropped the rope in the hallway. The lead teacher held the door and let the children enter the bathroom. The teacher then held the door as he/she picked up the rope. The lead teacher counted the children as they entered the bathroom. After using the bathroom, the lead teacher took a head count before opening the door. The teacher held the door while the lead teacher led the line. The lead teacher again counted the children as they exited the bathroom. The group grabbed their water bottles from the cart and proceeded straight to the playground. They passed through the black door, a door leading outside the building, before reaching the playground. Threshold counts were not taken at the black door or the exterior door. A threshold count was taken at the gate to the playground. During the observation of space #5, two (2) other classrooms also transitioned to the bathroom. One (1) group consisted of six (6) children with two (2) staff members, and the other group had seven (7) children with two (2) staff members. In one (1) group, three (3) children began running in different directions in the hallway during the transition. Two (2) additional staff members quickly intervened and caught the children. One (1) of the additional staff members assisted the group in reaching the bathroom. One (1) staff member took a threshold count by saying the number followed by each child’s name (e.g., “one – John, two – Joan,” etc.) and also touched each child’s head as he/she counted. Based on the interview, the allegation of supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On May 12, 2025, at approximately 9:48 a.m., a three (3) year old child was found unattended in space #5 (room 408) for approximately eight (8) minutes. A staff member discovered the child alone in the classroom, washing his/her hands. The incident occurred during a transition from the classroom to the bathroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision Children shall be supervised at all times. The staff members shall be able to adequately hear or see the children. Transition times are the most common periods when teachers may make supervision mistakes. To minimize these errors and reduce children's behavioral issues, transitions should be as brief and efficient as possible. One teacher should assist children individually, while the other supervises the group. Supportive tools, such as name-to-face logs, can help ensure accountability during these times. Strategies to further reduce wait times include engaging children with finger plays, songs, or similar activities. Additionally, consider requesting extra staff to assist with transitions or dividing the class into two smaller groups to facilitate smoother movement. Refer to .1801 (a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. The violations documented above must be corrected immediately. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit the compliance letter. • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature I must receive your compliance statement by 6/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Transition procedures: Strengths of the program observed include a strong support system provided by additional staff members. Communication among staff through radio supported the effective coordination of transition procedures, allowing extra staff to assist each group as needed. The implementation of classroom sweeps added an extra layer of precaution to help prevent future mistakes. Staff members responded to children’s behaviors calmly and with control, demonstrating effective behavior management in challenging situations. During transitions, conversations such as pretending to be flowers or stomping while walking were both engaging and intentional, helping to prevent behavioral issues. Staff were observed holding some children’s hands or picking them up when necessary to maintain safety and flow. One (1) staff member consistently led the line while the other remained at the back, ensuring proper supervision. Additionally, the lead teacher gave clear directions to the supporting teacher, reflecting strong teamwork and leadership. One of the main challenges observed is the inconsistency in transition practices among classrooms. Although teachers are taking head counts, the methods vary significantly. Some staff members visually count children while saying the numbers out loud, whereas others touch each child's head while calling their names. This inconsistency may lead to confusion or errors, especially during busy or high-stress transitions. Missed threshold counts at certain exit points further increase the risk of supervision mistakes. Without consistent, structured counting procedures at every threshold, it becomes easier for a child to be unintentionally left behind. Another challenge is the physical layout of the building, which includes multiple doorways along the transition path. While staff members hold doors open for the group, this can delay or prevent them from properly counting children or responding quickly to unexpected situations. This added logistical demand places strain on staff during critical moments of supervision. 1. Individualized Transition Strategies Each teacher should be familiar with the developmental abilities and behavioral tendencies of the children in their care. Staff should tailor transition strategies to support individual needs. For example, children who are at higher risk of behavioral challenges should be assisted by holding their hand rather than relying solely on their grip of the transition rope. Additionally, classrooms with younger children or those experiencing more frequent behavior challenges should receive transition support from at least one additional staff member. 2. Use of Tools to Aid Transitions Providing tools such as door stoppers can significantly support smoother transitions. Using a door stopper can free up a staff member’s hands, allowing them to maintain better visual and physical supervision of the children rather than being preoccupied with holding doors open. 3. Consistent and Aligned Head Count Practices Staff should follow a unified procedure for conducting head counts. The recommended method is using number-to-name counts (e.g., “One – John, Two – Joan”) as each child crosses a threshold. Since young children often do not stay in a straight line and may move around during transitions, counting by both number and name provides a clear and accurate method to prevent counting errors. 4. Strengthened Communication Between Staff Members Clear and consistent communication between classroom staff is essential, particularly during transitions. Both staff members should confirm their counts independently (one counting out loud, the other silently), then compare results to ensure accuracy. This double-check system promotes accountability and reduces the likelihood of mistakes. 5. Minimize the Number of Thresholds During Transitions When feasible, reduce the number of thresholds that require name-to-face checks by keeping doors open throughout frequently used transition pathways. While this may increase the need for close supervision due to more open access points, it can also reduce the cognitive and logistical burden on staff who otherwise must pause for repeated head counts and door management. Staff should remain alert and responsive during these moments, and doors may be propped open temporarily when the space is unoccupied to facilitate smoother transitions. 6. Accurate attendance record Accurate attendance record is essential for transition. Please review your attendance policy to make sure that the classroom staff members are always aware of how many children they are caring for. Administrative actions: Due to the nature of the violation cited during today’s visit, you may be considered for administrative action. While the Division is reviewing your case, I may be conducting unannounced follow-up visits every four-to-six weeks. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2201 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/19/2025 Number Present: 96 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 212 Time In: 08:58 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a GS 110-106 license issued on 10/10/24. The Special Services/Restrictions includes daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 5/15/25 and sent to me on 5/16/25. There is an allegation of violations of child care requirements regarding supervision. Per interview with Ms. Lovelace, the incident occurred on 5/12/25 at approximately 9:48 am. A child, three (3) years of age, was found unattended in space #5 (room 408) for approximately eight (8) minutes until a staff member found the child alone in the classroom, washing his/her hands. The incident occurred during the transition from the classroom to the bathroom. I interviewed two (2) staff members who were present at the time of the incident. According to the interviews, the incident occurred during the transition from the classroom to the bathroom. On typical days in space #5, a short group time is held after breakfast and before the transition to the bathroom. At this point, attendance is reviewed using the Bright Wheel app. If parents neglect to sign in their children, the children are added to the roster at that time. On 5/12/25, there were eleven (11) children, ages two-to-three years, present during group time. As the children and two (2) staff members lined up and began walking to the hallway, a child was dropped off. While the staff members greeted the parent and child, one (1) child from the line left and hid in the classroom. Both staff members stated that they counted a total of eleven (11) children—including the one who arrived during the transition—as they exited the classroom. As a result, one (1) child was left unattended in the classroom. Since the incident, several new procedures have been introduced and implemented. First, prior to the incident, parents were allowed to sign in their children either at the Kiosk in the lobby area or in the classroom. However, for the sake of accuracy in the Bright Wheel app attendance roster, parents are now required to sign in using the Kiosk only. Second, a classroom sweep is now conducted by an administrative staff member upon receiving notice of a transition via radio. Additionally, one (1) staff member was appointed as the “Hallway Operations Specialist” starting 5/13/25. The responsibilities of the Hallway Operations Specialist include, but are not limited to, managing and aiding transitions in the hallway, sharing resources with staff members, and supporting behavioral management. Third, a staff member designated as the Administrative and Training Specialist continues to conduct random observations related to classroom management, share resources with staff members, and complete administrative paperwork. Fourth, staff members who do not follow the transition protocol will receive a formal write-up. Fifth, a staff member is scheduled to receive mandatory supervision training on 5/31/25, presented by Ms. Lovelace and a Kids Ministry Coordinator from the church section. Sixth, the doors to the one (1) side of the building would remain closed during operations. Per Ms. Lovelace, two (2) staff members, who were involved in the supervision incident occurred on March 25, 2025, completed their training – Classroom Management 101. One (1) staff member completed the training on 4/16/25 and the other staff on 4/19/25. During the visit, I observed the transition procedures in space #5 (room 408). Nine (9) children, two-to-three years of age, were present with two (2) staff members. At 9:16 a.m., the children participated in group time. The lead teacher had the Bright Wheel app on a phone and reviewed attendance by conducting a name-to-face count using the app. He/she called each child’s name, asking him/her to “show his/her eyes,” and noted which children were absent. The lead teacher talked about a garden and directed the children to pretend to be roots while he/she pulled out a walking rope. During this group activity, the teacher cleaned the tables. The lead teacher referred to the children as “flowers” and called them to come to the rope. When all the children were lined up, the lead teacher instructed the teacher to conduct a sweep of the classroom, then notified administration of the transition via radio. As the teacher held the door, the lead teacher led the line. He/she took a head count through the threshold by counting the children at the front of the line. At the bathroom, the children dropped the rope in the hallway. The lead teacher held the door and let the children enter the bathroom. The teacher then held the door as he/she picked up the rope. The lead teacher counted the children as they entered the bathroom. After using the bathroom, the lead teacher took a head count before opening the door. The teacher held the door while the lead teacher led the line. The lead teacher again counted the children as they exited the bathroom. The group grabbed their water bottles from the cart and proceeded straight to the playground. They passed through the black door, a door leading outside the building, before reaching the playground. Threshold counts were not taken at the black door or the exterior door. A threshold count was taken at the gate to the playground. During the observation of space #5, two (2) other classrooms also transitioned to the bathroom. One (1) group consisted of six (6) children with two (2) staff members, and the other group had seven (7) children with two (2) staff members. In one (1) group, three (3) children began running in different directions in the hallway during the transition. Two (2) additional staff members quickly intervened and caught the children. One (1) of the additional staff members assisted the group in reaching the bathroom. One (1) staff member took a threshold count by saying the number followed by each child’s name (e.g., “one – John, two – Joan,” etc.) and also touched each child’s head as he/she counted. Based on the interview, the allegation of supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On May 12, 2025, at approximately 9:48 a.m., a three (3) year old child was found unattended in space #5 (room 408) for approximately eight (8) minutes. A staff member discovered the child alone in the classroom, washing his/her hands. The incident occurred during a transition from the classroom to the bathroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision Children shall be supervised at all times. The staff members shall be able to adequately hear or see the children. Transition times are the most common periods when teachers may make supervision mistakes. To minimize these errors and reduce children's behavioral issues, transitions should be as brief and efficient as possible. One teacher should assist children individually, while the other supervises the group. Supportive tools, such as name-to-face logs, can help ensure accountability during these times. Strategies to further reduce wait times include engaging children with finger plays, songs, or similar activities. Additionally, consider requesting extra staff to assist with transitions or dividing the class into two smaller groups to facilitate smoother movement. Refer to .1801 (a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. The violations documented above must be corrected immediately. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit the compliance letter. • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature I must receive your compliance statement by 6/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Transition procedures: Strengths of the program observed include a strong support system provided by additional staff members. Communication among staff through radio supported the effective coordination of transition procedures, allowing extra staff to assist each group as needed. The implementation of classroom sweeps added an extra layer of precaution to help prevent future mistakes. Staff members responded to children’s behaviors calmly and with control, demonstrating effective behavior management in challenging situations. During transitions, conversations such as pretending to be flowers or stomping while walking were both engaging and intentional, helping to prevent behavioral issues. Staff were observed holding some children’s hands or picking them up when necessary to maintain safety and flow. One (1) staff member consistently led the line while the other remained at the back, ensuring proper supervision. Additionally, the lead teacher gave clear directions to the supporting teacher, reflecting strong teamwork and leadership. One of the main challenges observed is the inconsistency in transition practices among classrooms. Although teachers are taking head counts, the methods vary significantly. Some staff members visually count children while saying the numbers out loud, whereas others touch each child's head while calling their names. This inconsistency may lead to confusion or errors, especially during busy or high-stress transitions. Missed threshold counts at certain exit points further increase the risk of supervision mistakes. Without consistent, structured counting procedures at every threshold, it becomes easier for a child to be unintentionally left behind. Another challenge is the physical layout of the building, which includes multiple doorways along the transition path. While staff members hold doors open for the group, this can delay or prevent them from properly counting children or responding quickly to unexpected situations. This added logistical demand places strain on staff during critical moments of supervision. 1. Individualized Transition Strategies Each teacher should be familiar with the developmental abilities and behavioral tendencies of the children in their care. Staff should tailor transition strategies to support individual needs. For example, children who are at higher risk of behavioral challenges should be assisted by holding their hand rather than relying solely on their grip of the transition rope. Additionally, classrooms with younger children or those experiencing more frequent behavior challenges should receive transition support from at least one additional staff member. 2. Use of Tools to Aid Transitions Providing tools such as door stoppers can significantly support smoother transitions. Using a door stopper can free up a staff member’s hands, allowing them to maintain better visual and physical supervision of the children rather than being preoccupied with holding doors open. 3. Consistent and Aligned Head Count Practices Staff should follow a unified procedure for conducting head counts. The recommended method is using number-to-name counts (e.g., “One – John, Two – Joan”) as each child crosses a threshold. Since young children often do not stay in a straight line and may move around during transitions, counting by both number and name provides a clear and accurate method to prevent counting errors. 4. Strengthened Communication Between Staff Members Clear and consistent communication between classroom staff is essential, particularly during transitions. Both staff members should confirm their counts independently (one counting out loud, the other silently), then compare results to ensure accuracy. This double-check system promotes accountability and reduces the likelihood of mistakes. 5. Minimize the Number of Thresholds During Transitions When feasible, reduce the number of thresholds that require name-to-face checks by keeping doors open throughout frequently used transition pathways. While this may increase the need for close supervision due to more open access points, it can also reduce the cognitive and logistical burden on staff who otherwise must pause for repeated head counts and door management. Staff should remain alert and responsive during these moments, and doors may be propped open temporarily when the space is unoccupied to facilitate smoother transitions. 6. Accurate attendance record Accurate attendance record is essential for transition. Please review your attendance policy to make sure that the classroom staff members are always aware of how many children they are caring for. Administrative actions: Due to the nature of the violation cited during today’s visit, you may be considered for administrative action. While the Division is reviewing your case, I may be conducting unannounced follow-up visits every four-to-six weeks. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/19/2025 Number Present: 96 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 212 Time In: 08:58 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a GS 110-106 license issued on 10/10/24. The Special Services/Restrictions includes daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 5/15/25 and sent to me on 5/16/25. There is an allegation of violations of child care requirements regarding supervision. Per interview with Ms. Lovelace, the incident occurred on 5/12/25 at approximately 9:48 am. A child, three (3) years of age, was found unattended in space #5 (room 408) for approximately eight (8) minutes until a staff member found the child alone in the classroom, washing his/her hands. The incident occurred during the transition from the classroom to the bathroom. I interviewed two (2) staff members who were present at the time of the incident. According to the interviews, the incident occurred during the transition from the classroom to the bathroom. On typical days in space #5, a short group time is held after breakfast and before the transition to the bathroom. At this point, attendance is reviewed using the Bright Wheel app. If parents neglect to sign in their children, the children are added to the roster at that time. On 5/12/25, there were eleven (11) children, ages two-to-three years, present during group time. As the children and two (2) staff members lined up and began walking to the hallway, a child was dropped off. While the staff members greeted the parent and child, one (1) child from the line left and hid in the classroom. Both staff members stated that they counted a total of eleven (11) children—including the one who arrived during the transition—as they exited the classroom. As a result, one (1) child was left unattended in the classroom. Since the incident, several new procedures have been introduced and implemented. First, prior to the incident, parents were allowed to sign in their children either at the Kiosk in the lobby area or in the classroom. However, for the sake of accuracy in the Bright Wheel app attendance roster, parents are now required to sign in using the Kiosk only. Second, a classroom sweep is now conducted by an administrative staff member upon receiving notice of a transition via radio. Additionally, one (1) staff member was appointed as the “Hallway Operations Specialist” starting 5/13/25. The responsibilities of the Hallway Operations Specialist include, but are not limited to, managing and aiding transitions in the hallway, sharing resources with staff members, and supporting behavioral management. Third, a staff member designated as the Administrative and Training Specialist continues to conduct random observations related to classroom management, share resources with staff members, and complete administrative paperwork. Fourth, staff members who do not follow the transition protocol will receive a formal write-up. Fifth, a staff member is scheduled to receive mandatory supervision training on 5/31/25, presented by Ms. Lovelace and a Kids Ministry Coordinator from the church section. Sixth, the doors to the one (1) side of the building would remain closed during operations. Per Ms. Lovelace, two (2) staff members, who were involved in the supervision incident occurred on March 25, 2025, completed their training – Classroom Management 101. One (1) staff member completed the training on 4/16/25 and the other staff on 4/19/25. During the visit, I observed the transition procedures in space #5 (room 408). Nine (9) children, two-to-three years of age, were present with two (2) staff members. At 9:16 a.m., the children participated in group time. The lead teacher had the Bright Wheel app on a phone and reviewed attendance by conducting a name-to-face count using the app. He/she called each child’s name, asking him/her to “show his/her eyes,” and noted which children were absent. The lead teacher talked about a garden and directed the children to pretend to be roots while he/she pulled out a walking rope. During this group activity, the teacher cleaned the tables. The lead teacher referred to the children as “flowers” and called them to come to the rope. When all the children were lined up, the lead teacher instructed the teacher to conduct a sweep of the classroom, then notified administration of the transition via radio. As the teacher held the door, the lead teacher led the line. He/she took a head count through the threshold by counting the children at the front of the line. At the bathroom, the children dropped the rope in the hallway. The lead teacher held the door and let the children enter the bathroom. The teacher then held the door as he/she picked up the rope. The lead teacher counted the children as they entered the bathroom. After using the bathroom, the lead teacher took a head count before opening the door. The teacher held the door while the lead teacher led the line. The lead teacher again counted the children as they exited the bathroom. The group grabbed their water bottles from the cart and proceeded straight to the playground. They passed through the black door, a door leading outside the building, before reaching the playground. Threshold counts were not taken at the black door or the exterior door. A threshold count was taken at the gate to the playground. During the observation of space #5, two (2) other classrooms also transitioned to the bathroom. One (1) group consisted of six (6) children with two (2) staff members, and the other group had seven (7) children with two (2) staff members. In one (1) group, three (3) children began running in different directions in the hallway during the transition. Two (2) additional staff members quickly intervened and caught the children. One (1) of the additional staff members assisted the group in reaching the bathroom. One (1) staff member took a threshold count by saying the number followed by each child’s name (e.g., “one – John, two – Joan,” etc.) and also touched each child’s head as he/she counted. Based on the interview, the allegation of supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On May 12, 2025, at approximately 9:48 a.m., a three (3) year old child was found unattended in space #5 (room 408) for approximately eight (8) minutes. A staff member discovered the child alone in the classroom, washing his/her hands. The incident occurred during a transition from the classroom to the bathroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision Children shall be supervised at all times. The staff members shall be able to adequately hear or see the children. Transition times are the most common periods when teachers may make supervision mistakes. To minimize these errors and reduce children's behavioral issues, transitions should be as brief and efficient as possible. One teacher should assist children individually, while the other supervises the group. Supportive tools, such as name-to-face logs, can help ensure accountability during these times. Strategies to further reduce wait times include engaging children with finger plays, songs, or similar activities. Additionally, consider requesting extra staff to assist with transitions or dividing the class into two smaller groups to facilitate smoother movement. Refer to .1801 (a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. The violations documented above must be corrected immediately. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit the compliance letter. • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature I must receive your compliance statement by 6/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Transition procedures: Strengths of the program observed include a strong support system provided by additional staff members. Communication among staff through radio supported the effective coordination of transition procedures, allowing extra staff to assist each group as needed. The implementation of classroom sweeps added an extra layer of precaution to help prevent future mistakes. Staff members responded to children’s behaviors calmly and with control, demonstrating effective behavior management in challenging situations. During transitions, conversations such as pretending to be flowers or stomping while walking were both engaging and intentional, helping to prevent behavioral issues. Staff were observed holding some children’s hands or picking them up when necessary to maintain safety and flow. One (1) staff member consistently led the line while the other remained at the back, ensuring proper supervision. Additionally, the lead teacher gave clear directions to the supporting teacher, reflecting strong teamwork and leadership. One of the main challenges observed is the inconsistency in transition practices among classrooms. Although teachers are taking head counts, the methods vary significantly. Some staff members visually count children while saying the numbers out loud, whereas others touch each child's head while calling their names. This inconsistency may lead to confusion or errors, especially during busy or high-stress transitions. Missed threshold counts at certain exit points further increase the risk of supervision mistakes. Without consistent, structured counting procedures at every threshold, it becomes easier for a child to be unintentionally left behind. Another challenge is the physical layout of the building, which includes multiple doorways along the transition path. While staff members hold doors open for the group, this can delay or prevent them from properly counting children or responding quickly to unexpected situations. This added logistical demand places strain on staff during critical moments of supervision. 1. Individualized Transition Strategies Each teacher should be familiar with the developmental abilities and behavioral tendencies of the children in their care. Staff should tailor transition strategies to support individual needs. For example, children who are at higher risk of behavioral challenges should be assisted by holding their hand rather than relying solely on their grip of the transition rope. Additionally, classrooms with younger children or those experiencing more frequent behavior challenges should receive transition support from at least one additional staff member. 2. Use of Tools to Aid Transitions Providing tools such as door stoppers can significantly support smoother transitions. Using a door stopper can free up a staff member’s hands, allowing them to maintain better visual and physical supervision of the children rather than being preoccupied with holding doors open. 3. Consistent and Aligned Head Count Practices Staff should follow a unified procedure for conducting head counts. The recommended method is using number-to-name counts (e.g., “One – John, Two – Joan”) as each child crosses a threshold. Since young children often do not stay in a straight line and may move around during transitions, counting by both number and name provides a clear and accurate method to prevent counting errors. 4. Strengthened Communication Between Staff Members Clear and consistent communication between classroom staff is essential, particularly during transitions. Both staff members should confirm their counts independently (one counting out loud, the other silently), then compare results to ensure accuracy. This double-check system promotes accountability and reduces the likelihood of mistakes. 5. Minimize the Number of Thresholds During Transitions When feasible, reduce the number of thresholds that require name-to-face checks by keeping doors open throughout frequently used transition pathways. While this may increase the need for close supervision due to more open access points, it can also reduce the cognitive and logistical burden on staff who otherwise must pause for repeated head counts and door management. Staff should remain alert and responsive during these moments, and doors may be propped open temporarily when the space is unoccupied to facilitate smoother transitions. 6. Accurate attendance record Accurate attendance record is essential for transition. Please review your attendance policy to make sure that the classroom staff members are always aware of how many children they are caring for. Administrative actions: Due to the nature of the violation cited during today’s visit, you may be considered for administrative action. While the Division is reviewing your case, I may be conducting unannounced follow-up visits every four-to-six weeks. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-176L Visit Date: 5/19/2025 Number Present: 96 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 212 Time In: 08:58 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a GS 110-106 license issued on 10/10/24. The Special Services/Restrictions includes daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 5/15/25 and sent to me on 5/16/25. There is an allegation of violations of child care requirements regarding supervision. Per interview with Ms. Lovelace, the incident occurred on 5/12/25 at approximately 9:48 am. A child, three (3) years of age, was found unattended in space #5 (room 408) for approximately eight (8) minutes until a staff member found the child alone in the classroom, washing his/her hands. The incident occurred during the transition from the classroom to the bathroom. I interviewed two (2) staff members who were present at the time of the incident. According to the interviews, the incident occurred during the transition from the classroom to the bathroom. On typical days in space #5, a short group time is held after breakfast and before the transition to the bathroom. At this point, attendance is reviewed using the Bright Wheel app. If parents neglect to sign in their children, the children are added to the roster at that time. On 5/12/25, there were eleven (11) children, ages two-to-three years, present during group time. As the children and two (2) staff members lined up and began walking to the hallway, a child was dropped off. While the staff members greeted the parent and child, one (1) child from the line left and hid in the classroom. Both staff members stated that they counted a total of eleven (11) children—including the one who arrived during the transition—as they exited the classroom. As a result, one (1) child was left unattended in the classroom. Since the incident, several new procedures have been introduced and implemented. First, prior to the incident, parents were allowed to sign in their children either at the Kiosk in the lobby area or in the classroom. However, for the sake of accuracy in the Bright Wheel app attendance roster, parents are now required to sign in using the Kiosk only. Second, a classroom sweep is now conducted by an administrative staff member upon receiving notice of a transition via radio. Additionally, one (1) staff member was appointed as the “Hallway Operations Specialist” starting 5/13/25. The responsibilities of the Hallway Operations Specialist include, but are not limited to, managing and aiding transitions in the hallway, sharing resources with staff members, and supporting behavioral management. Third, a staff member designated as the Administrative and Training Specialist continues to conduct random observations related to classroom management, share resources with staff members, and complete administrative paperwork. Fourth, staff members who do not follow the transition protocol will receive a formal write-up. Fifth, a staff member is scheduled to receive mandatory supervision training on 5/31/25, presented by Ms. Lovelace and a Kids Ministry Coordinator from the church section. Sixth, the doors to the one (1) side of the building would remain closed during operations. Per Ms. Lovelace, two (2) staff members, who were involved in the supervision incident occurred on March 25, 2025, completed their training – Classroom Management 101. One (1) staff member completed the training on 4/16/25 and the other staff on 4/19/25. During the visit, I observed the transition procedures in space #5 (room 408). Nine (9) children, two-to-three years of age, were present with two (2) staff members. At 9:16 a.m., the children participated in group time. The lead teacher had the Bright Wheel app on a phone and reviewed attendance by conducting a name-to-face count using the app. He/she called each child’s name, asking him/her to “show his/her eyes,” and noted which children were absent. The lead teacher talked about a garden and directed the children to pretend to be roots while he/she pulled out a walking rope. During this group activity, the teacher cleaned the tables. The lead teacher referred to the children as “flowers” and called them to come to the rope. When all the children were lined up, the lead teacher instructed the teacher to conduct a sweep of the classroom, then notified administration of the transition via radio. As the teacher held the door, the lead teacher led the line. He/she took a head count through the threshold by counting the children at the front of the line. At the bathroom, the children dropped the rope in the hallway. The lead teacher held the door and let the children enter the bathroom. The teacher then held the door as he/she picked up the rope. The lead teacher counted the children as they entered the bathroom. After using the bathroom, the lead teacher took a head count before opening the door. The teacher held the door while the lead teacher led the line. The lead teacher again counted the children as they exited the bathroom. The group grabbed their water bottles from the cart and proceeded straight to the playground. They passed through the black door, a door leading outside the building, before reaching the playground. Threshold counts were not taken at the black door or the exterior door. A threshold count was taken at the gate to the playground. During the observation of space #5, two (2) other classrooms also transitioned to the bathroom. One (1) group consisted of six (6) children with two (2) staff members, and the other group had seven (7) children with two (2) staff members. In one (1) group, three (3) children began running in different directions in the hallway during the transition. Two (2) additional staff members quickly intervened and caught the children. One (1) of the additional staff members assisted the group in reaching the bathroom. One (1) staff member took a threshold count by saying the number followed by each child’s name (e.g., “one – John, two – Joan,” etc.) and also touched each child’s head as he/she counted. Based on the interview, the allegation of supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On May 12, 2025, at approximately 9:48 a.m., a three (3) year old child was found unattended in space #5 (room 408) for approximately eight (8) minutes. A staff member discovered the child alone in the classroom, washing his/her hands. The incident occurred during a transition from the classroom to the bathroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision Children shall be supervised at all times. The staff members shall be able to adequately hear or see the children. Transition times are the most common periods when teachers may make supervision mistakes. To minimize these errors and reduce children's behavioral issues, transitions should be as brief and efficient as possible. One teacher should assist children individually, while the other supervises the group. Supportive tools, such as name-to-face logs, can help ensure accountability during these times. Strategies to further reduce wait times include engaging children with finger plays, songs, or similar activities. Additionally, consider requesting extra staff to assist with transitions or dividing the class into two smaller groups to facilitate smoother movement. Refer to .1801 (a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. The violations documented above must be corrected immediately. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit the compliance letter. • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature I must receive your compliance statement by 6/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Transition procedures: Strengths of the program observed include a strong support system provided by additional staff members. Communication among staff through radio supported the effective coordination of transition procedures, allowing extra staff to assist each group as needed. The implementation of classroom sweeps added an extra layer of precaution to help prevent future mistakes. Staff members responded to children’s behaviors calmly and with control, demonstrating effective behavior management in challenging situations. During transitions, conversations such as pretending to be flowers or stomping while walking were both engaging and intentional, helping to prevent behavioral issues. Staff were observed holding some children’s hands or picking them up when necessary to maintain safety and flow. One (1) staff member consistently led the line while the other remained at the back, ensuring proper supervision. Additionally, the lead teacher gave clear directions to the supporting teacher, reflecting strong teamwork and leadership. One of the main challenges observed is the inconsistency in transition practices among classrooms. Although teachers are taking head counts, the methods vary significantly. Some staff members visually count children while saying the numbers out loud, whereas others touch each child's head while calling their names. This inconsistency may lead to confusion or errors, especially during busy or high-stress transitions. Missed threshold counts at certain exit points further increase the risk of supervision mistakes. Without consistent, structured counting procedures at every threshold, it becomes easier for a child to be unintentionally left behind. Another challenge is the physical layout of the building, which includes multiple doorways along the transition path. While staff members hold doors open for the group, this can delay or prevent them from properly counting children or responding quickly to unexpected situations. This added logistical demand places strain on staff during critical moments of supervision. 1. Individualized Transition Strategies Each teacher should be familiar with the developmental abilities and behavioral tendencies of the children in their care. Staff should tailor transition strategies to support individual needs. For example, children who are at higher risk of behavioral challenges should be assisted by holding their hand rather than relying solely on their grip of the transition rope. Additionally, classrooms with younger children or those experiencing more frequent behavior challenges should receive transition support from at least one additional staff member. 2. Use of Tools to Aid Transitions Providing tools such as door stoppers can significantly support smoother transitions. Using a door stopper can free up a staff member’s hands, allowing them to maintain better visual and physical supervision of the children rather than being preoccupied with holding doors open. 3. Consistent and Aligned Head Count Practices Staff should follow a unified procedure for conducting head counts. The recommended method is using number-to-name counts (e.g., “One – John, Two – Joan”) as each child crosses a threshold. Since young children often do not stay in a straight line and may move around during transitions, counting by both number and name provides a clear and accurate method to prevent counting errors. 4. Strengthened Communication Between Staff Members Clear and consistent communication between classroom staff is essential, particularly during transitions. Both staff members should confirm their counts independently (one counting out loud, the other silently), then compare results to ensure accuracy. This double-check system promotes accountability and reduces the likelihood of mistakes. 5. Minimize the Number of Thresholds During Transitions When feasible, reduce the number of thresholds that require name-to-face checks by keeping doors open throughout frequently used transition pathways. While this may increase the need for close supervision due to more open access points, it can also reduce the cognitive and logistical burden on staff who otherwise must pause for repeated head counts and door management. Staff should remain alert and responsive during these moments, and doors may be propped open temporarily when the space is unoccupied to facilitate smoother transitions. 6. Accurate attendance record Accurate attendance record is essential for transition. Please review your attendance policy to make sure that the classroom staff members are always aware of how many children they are caring for. Administrative actions: Due to the nature of the violation cited during today’s visit, you may be considered for administrative action. While the Division is reviewing your case, I may be conducting unannounced follow-up visits every four-to-six weeks. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1801 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0325-436L Visit Date: 4/3/2025 Number Present: 104 Completed Date: 4/3/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 08:53 AM Time Out: 12:48 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, acting Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a G.S. 110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 2/28/25 and sent to me on 3/31/25. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. According to Ms. Lovelace, the incident occurred on March 25, 2025, at approximately 12:30 p.m. Due to staff shortages, the children from space #404 were combined with those from space #406. At the time of the incident, there were twenty (20) children, aged four (4) to five (5) years, under the supervision of two (2) staff members, one lead teacher from space #404 and one lead teacher from space #406. The incident took place during the transition from the bathroom to the classroom. After using the bathroom, the children lined up by the closed bathroom door. As the group exited, a five-year-old child left the line and re-entered one of the eleven (11) individual bathroom stalls. Staff did not conduct a headcount as the children crossed the threshold. As a result, the child was left unattended for approximately two (2) to five (5) minutes before being found by a staff member in another classroom. According to interviews conducted by Ms. Lovelace with the classroom staff, the teachers stated that they performed a headcount upon re-entering the classroom. However, they did not notice that one (1) child was missing from the group. The current transition procedures are as follows: Parents and teachers use the Brightwheel app to sign children in. This app, accessible on tablets or phones, allows staff members to transfer children between classrooms, ensuring an accurate daily roster. Staff members are required to conduct a name-to-face or headcount check before leaving the classroom and perform a headcount while crossing the thresholds. Children are also expected to hold the walking rope during transitions. Additionally, each classroom must report every transition via walkie-talkie, stating the teacher’s name, the number of children in the group, and their destination. Administrative staff members conduct periodic monitoring to make sure that staff members are following the procedures. A support staff member (Training & Scheduling Specialist) conducts weekly monitoring and mentoring sessions with classroom staff on transition procedures. No documentation of these observations was maintained. The support staff member reported some challenges with the use of walking ropes and provided guidance to the classroom teachers on conducting headcounts while crossing thresholds. However, no major concerns were reported to Ms. Lovelace. I observed classrooms #404 and #406. Upon entering, I greeted the staff and introduced myself. In space #404, two (2) substitute staff members were present due to the lead teacher’s absence. Eleven (11) children, aged four (4) to five (5) years, were in the classroom. The children had oatmeal and cut-up apples for breakfast. After eating, they washed their hands and transitioned to group time, where they used flashlights to play an "I Spy" game in a darkened room. In space #406, eleven (11) children, aged three (3) to five (5) years, were present. After breakfast, they washed their hands and briefly engaged in free play. The transition procedures for space #404 and #406 was observed. The transition procedures for spaces #404 and #406 were observed. Eleven (11) children from space #406 transitioned to the bathroom. In the classroom, the teachers placed the walking rope in front of the door. The lead teacher held the first ring and stood at the front of the line, while the other teacher held the last ring. The lead teacher called each child’s name, and as they were called, the children grabbed a ring on the rope. Once all the children were lined up, the lead teacher conducted a headcount. One (1) child was upset and was held by the lead teacher. The lead teacher designated one (1) child to hold the door and conducted another headcount as the children crossed the threshold. The teacher at the end of the line allowed the designated child to rejoin the group in the hallway before closing the classroom door. The bathroom door was propped open. The lead teacher conducted another headcount as the children entered the bathroom. Inside, the lead teacher directed the boys to sit on the bench while the girls began using the bathroom. Once all the children were inside, the lead teacher closed the bathroom door. The teacher supervised the children using the bathroom, while the lead teacher monitored the children on the bench and assisted with handwashing. During this time, the lead teacher read Green Eggs and Ham to the children waiting on the bench and provided handwashing assistance as needed. Handwashing procedures were followed thoroughly. Once all children finished using the bathroom, they held onto the rope with their teachers. The teacher reported the transition via walkie-talkie. Before opening the bathroom door, the lead teacher conducted a final headcount, and the group exited the bathroom, returning to the classroom. The transition procedure to re-enter the classroom was not observed due to the children in #404 already in transition. I shifted my observation to the group in space #404. Two (2) substitute staff members, one (1) support staff member, and eleven (11) children transitioned to the bathroom. Two (2) children were not holding a ring on the walking rope, and one (1) child was held by the staff member leading the group. During the transition, one (1) of the children who was not holding the rope ran off. The staff member leading the line and the support staff member pursued the child, while the remaining staff member stayed with the rest of the group and led them to the bathroom. Upon arrival, a male staff member waited in the hallway, following program policy, while the other two (2) staff members entered the bathroom. I was unable to observe the procedure as the children entered. Inside the bathroom, the boys used the restroom first while the girls waited on the bench. The bathroom door was closed. The support staff member supervised the children on the bench and assisted with handwashing as needed. While waiting, the support staff and children played I Spy. One (1) substitute staff member supervised the restroom use. The children required various forms of assistance, including guidance on proper handwashing, adjusting clothing such as belts, and other prompts. Once all children had finished using the bathroom, the support staff retrieved the walking rope from the staff member in the hallway, closed the door, and conducted a headcount. The process took extra time as some children were not holding the rope and were moving around. Upon leaving the bathroom, a headcount was conducted at the threshold, and children who were not holding the rope were instructed to hold a staff member’s hand. During the walk back to the classroom, the children and staff did not maintain a straight line but instead moved together in a loosely formed cluster. Ms. Lovelace redirected the children’s attention and encouraged them to walk in an orderly line by following the child in front of them. Before entering the classroom, the support staff instructed the staff member at the front of the line to conduct a final headcount as the children crossed the threshold. The staff member accurately counted all children as they reentered the classroom. Per Ms. Lovelace, at least one (1) support staff member or administrative staff is always available to support the transition when male staff members are present. Based on the interview and the self-report, the allegation of supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on March 25, 2025, at approximately 12:30 p.m. during the transition from the bathroom to the classroom space #406. After using the bathroom, the children lined up by the closed bathroom door. As the group exited, a five-year-old child left the line and re-entered one of the eleven (11) individual bathroom stalls. Staff did not conduct a headcount as the children crossed the threshold. As a result, the child was left unattended for approximately two (2) to five (5) minutes before being found by a staff member in another classroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children must be adequately supervised at all times. Continuous review of the supervision procedures, periodic teacher training on supervision, and monitoring by the administrative staff members are strongly advised. The staff members should use additional resources, such as a roster list or a name-to-face count sheet in addition to head counts to prevent mistakes. Positioning of the teachers are equally important in preventing the mistakes. One (1) teacher must be able to see all children if and when the other teacher must aid a few specific children. The communication between staff member is also important to prevent mistakes. Each staff member should conduct headcounts whether doing so out loud or not and not relying on one (1) person. Re-check prior to leaving the space is also an effective practice. You can receive additional resources on https://nrckids.org/ Please refer to 10A NCAC 09 .1801(a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit a corrective statement. If the violations do not require a FU visit include the following: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you have additional question regarding the complaint procedures and/or administrative action, please contact me via email: kaoru.eddins@dhhs.nc.gov or (828)556-9013. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2201 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0325-436L Visit Date: 4/3/2025 Number Present: 104 Completed Date: 4/3/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 08:53 AM Time Out: 12:48 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, acting Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a G.S. 110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 2/28/25 and sent to me on 3/31/25. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. According to Ms. Lovelace, the incident occurred on March 25, 2025, at approximately 12:30 p.m. Due to staff shortages, the children from space #404 were combined with those from space #406. At the time of the incident, there were twenty (20) children, aged four (4) to five (5) years, under the supervision of two (2) staff members, one lead teacher from space #404 and one lead teacher from space #406. The incident took place during the transition from the bathroom to the classroom. After using the bathroom, the children lined up by the closed bathroom door. As the group exited, a five-year-old child left the line and re-entered one of the eleven (11) individual bathroom stalls. Staff did not conduct a headcount as the children crossed the threshold. As a result, the child was left unattended for approximately two (2) to five (5) minutes before being found by a staff member in another classroom. According to interviews conducted by Ms. Lovelace with the classroom staff, the teachers stated that they performed a headcount upon re-entering the classroom. However, they did not notice that one (1) child was missing from the group. The current transition procedures are as follows: Parents and teachers use the Brightwheel app to sign children in. This app, accessible on tablets or phones, allows staff members to transfer children between classrooms, ensuring an accurate daily roster. Staff members are required to conduct a name-to-face or headcount check before leaving the classroom and perform a headcount while crossing the thresholds. Children are also expected to hold the walking rope during transitions. Additionally, each classroom must report every transition via walkie-talkie, stating the teacher’s name, the number of children in the group, and their destination. Administrative staff members conduct periodic monitoring to make sure that staff members are following the procedures. A support staff member (Training & Scheduling Specialist) conducts weekly monitoring and mentoring sessions with classroom staff on transition procedures. No documentation of these observations was maintained. The support staff member reported some challenges with the use of walking ropes and provided guidance to the classroom teachers on conducting headcounts while crossing thresholds. However, no major concerns were reported to Ms. Lovelace. I observed classrooms #404 and #406. Upon entering, I greeted the staff and introduced myself. In space #404, two (2) substitute staff members were present due to the lead teacher’s absence. Eleven (11) children, aged four (4) to five (5) years, were in the classroom. The children had oatmeal and cut-up apples for breakfast. After eating, they washed their hands and transitioned to group time, where they used flashlights to play an "I Spy" game in a darkened room. In space #406, eleven (11) children, aged three (3) to five (5) years, were present. After breakfast, they washed their hands and briefly engaged in free play. The transition procedures for space #404 and #406 was observed. The transition procedures for spaces #404 and #406 were observed. Eleven (11) children from space #406 transitioned to the bathroom. In the classroom, the teachers placed the walking rope in front of the door. The lead teacher held the first ring and stood at the front of the line, while the other teacher held the last ring. The lead teacher called each child’s name, and as they were called, the children grabbed a ring on the rope. Once all the children were lined up, the lead teacher conducted a headcount. One (1) child was upset and was held by the lead teacher. The lead teacher designated one (1) child to hold the door and conducted another headcount as the children crossed the threshold. The teacher at the end of the line allowed the designated child to rejoin the group in the hallway before closing the classroom door. The bathroom door was propped open. The lead teacher conducted another headcount as the children entered the bathroom. Inside, the lead teacher directed the boys to sit on the bench while the girls began using the bathroom. Once all the children were inside, the lead teacher closed the bathroom door. The teacher supervised the children using the bathroom, while the lead teacher monitored the children on the bench and assisted with handwashing. During this time, the lead teacher read Green Eggs and Ham to the children waiting on the bench and provided handwashing assistance as needed. Handwashing procedures were followed thoroughly. Once all children finished using the bathroom, they held onto the rope with their teachers. The teacher reported the transition via walkie-talkie. Before opening the bathroom door, the lead teacher conducted a final headcount, and the group exited the bathroom, returning to the classroom. The transition procedure to re-enter the classroom was not observed due to the children in #404 already in transition. I shifted my observation to the group in space #404. Two (2) substitute staff members, one (1) support staff member, and eleven (11) children transitioned to the bathroom. Two (2) children were not holding a ring on the walking rope, and one (1) child was held by the staff member leading the group. During the transition, one (1) of the children who was not holding the rope ran off. The staff member leading the line and the support staff member pursued the child, while the remaining staff member stayed with the rest of the group and led them to the bathroom. Upon arrival, a male staff member waited in the hallway, following program policy, while the other two (2) staff members entered the bathroom. I was unable to observe the procedure as the children entered. Inside the bathroom, the boys used the restroom first while the girls waited on the bench. The bathroom door was closed. The support staff member supervised the children on the bench and assisted with handwashing as needed. While waiting, the support staff and children played I Spy. One (1) substitute staff member supervised the restroom use. The children required various forms of assistance, including guidance on proper handwashing, adjusting clothing such as belts, and other prompts. Once all children had finished using the bathroom, the support staff retrieved the walking rope from the staff member in the hallway, closed the door, and conducted a headcount. The process took extra time as some children were not holding the rope and were moving around. Upon leaving the bathroom, a headcount was conducted at the threshold, and children who were not holding the rope were instructed to hold a staff member’s hand. During the walk back to the classroom, the children and staff did not maintain a straight line but instead moved together in a loosely formed cluster. Ms. Lovelace redirected the children’s attention and encouraged them to walk in an orderly line by following the child in front of them. Before entering the classroom, the support staff instructed the staff member at the front of the line to conduct a final headcount as the children crossed the threshold. The staff member accurately counted all children as they reentered the classroom. Per Ms. Lovelace, at least one (1) support staff member or administrative staff is always available to support the transition when male staff members are present. Based on the interview and the self-report, the allegation of supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on March 25, 2025, at approximately 12:30 p.m. during the transition from the bathroom to the classroom space #406. After using the bathroom, the children lined up by the closed bathroom door. As the group exited, a five-year-old child left the line and re-entered one of the eleven (11) individual bathroom stalls. Staff did not conduct a headcount as the children crossed the threshold. As a result, the child was left unattended for approximately two (2) to five (5) minutes before being found by a staff member in another classroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children must be adequately supervised at all times. Continuous review of the supervision procedures, periodic teacher training on supervision, and monitoring by the administrative staff members are strongly advised. The staff members should use additional resources, such as a roster list or a name-to-face count sheet in addition to head counts to prevent mistakes. Positioning of the teachers are equally important in preventing the mistakes. One (1) teacher must be able to see all children if and when the other teacher must aid a few specific children. The communication between staff member is also important to prevent mistakes. Each staff member should conduct headcounts whether doing so out loud or not and not relying on one (1) person. Re-check prior to leaving the space is also an effective practice. You can receive additional resources on https://nrckids.org/ Please refer to 10A NCAC 09 .1801(a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit a corrective statement. If the violations do not require a FU visit include the following: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you have additional question regarding the complaint procedures and/or administrative action, please contact me via email: kaoru.eddins@dhhs.nc.gov or (828)556-9013. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0325-436L Visit Date: 4/3/2025 Number Present: 104 Completed Date: 4/3/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 08:53 AM Time Out: 12:48 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, acting Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a G.S. 110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 2/28/25 and sent to me on 3/31/25. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. According to Ms. Lovelace, the incident occurred on March 25, 2025, at approximately 12:30 p.m. Due to staff shortages, the children from space #404 were combined with those from space #406. At the time of the incident, there were twenty (20) children, aged four (4) to five (5) years, under the supervision of two (2) staff members, one lead teacher from space #404 and one lead teacher from space #406. The incident took place during the transition from the bathroom to the classroom. After using the bathroom, the children lined up by the closed bathroom door. As the group exited, a five-year-old child left the line and re-entered one of the eleven (11) individual bathroom stalls. Staff did not conduct a headcount as the children crossed the threshold. As a result, the child was left unattended for approximately two (2) to five (5) minutes before being found by a staff member in another classroom. According to interviews conducted by Ms. Lovelace with the classroom staff, the teachers stated that they performed a headcount upon re-entering the classroom. However, they did not notice that one (1) child was missing from the group. The current transition procedures are as follows: Parents and teachers use the Brightwheel app to sign children in. This app, accessible on tablets or phones, allows staff members to transfer children between classrooms, ensuring an accurate daily roster. Staff members are required to conduct a name-to-face or headcount check before leaving the classroom and perform a headcount while crossing the thresholds. Children are also expected to hold the walking rope during transitions. Additionally, each classroom must report every transition via walkie-talkie, stating the teacher’s name, the number of children in the group, and their destination. Administrative staff members conduct periodic monitoring to make sure that staff members are following the procedures. A support staff member (Training & Scheduling Specialist) conducts weekly monitoring and mentoring sessions with classroom staff on transition procedures. No documentation of these observations was maintained. The support staff member reported some challenges with the use of walking ropes and provided guidance to the classroom teachers on conducting headcounts while crossing thresholds. However, no major concerns were reported to Ms. Lovelace. I observed classrooms #404 and #406. Upon entering, I greeted the staff and introduced myself. In space #404, two (2) substitute staff members were present due to the lead teacher’s absence. Eleven (11) children, aged four (4) to five (5) years, were in the classroom. The children had oatmeal and cut-up apples for breakfast. After eating, they washed their hands and transitioned to group time, where they used flashlights to play an "I Spy" game in a darkened room. In space #406, eleven (11) children, aged three (3) to five (5) years, were present. After breakfast, they washed their hands and briefly engaged in free play. The transition procedures for space #404 and #406 was observed. The transition procedures for spaces #404 and #406 were observed. Eleven (11) children from space #406 transitioned to the bathroom. In the classroom, the teachers placed the walking rope in front of the door. The lead teacher held the first ring and stood at the front of the line, while the other teacher held the last ring. The lead teacher called each child’s name, and as they were called, the children grabbed a ring on the rope. Once all the children were lined up, the lead teacher conducted a headcount. One (1) child was upset and was held by the lead teacher. The lead teacher designated one (1) child to hold the door and conducted another headcount as the children crossed the threshold. The teacher at the end of the line allowed the designated child to rejoin the group in the hallway before closing the classroom door. The bathroom door was propped open. The lead teacher conducted another headcount as the children entered the bathroom. Inside, the lead teacher directed the boys to sit on the bench while the girls began using the bathroom. Once all the children were inside, the lead teacher closed the bathroom door. The teacher supervised the children using the bathroom, while the lead teacher monitored the children on the bench and assisted with handwashing. During this time, the lead teacher read Green Eggs and Ham to the children waiting on the bench and provided handwashing assistance as needed. Handwashing procedures were followed thoroughly. Once all children finished using the bathroom, they held onto the rope with their teachers. The teacher reported the transition via walkie-talkie. Before opening the bathroom door, the lead teacher conducted a final headcount, and the group exited the bathroom, returning to the classroom. The transition procedure to re-enter the classroom was not observed due to the children in #404 already in transition. I shifted my observation to the group in space #404. Two (2) substitute staff members, one (1) support staff member, and eleven (11) children transitioned to the bathroom. Two (2) children were not holding a ring on the walking rope, and one (1) child was held by the staff member leading the group. During the transition, one (1) of the children who was not holding the rope ran off. The staff member leading the line and the support staff member pursued the child, while the remaining staff member stayed with the rest of the group and led them to the bathroom. Upon arrival, a male staff member waited in the hallway, following program policy, while the other two (2) staff members entered the bathroom. I was unable to observe the procedure as the children entered. Inside the bathroom, the boys used the restroom first while the girls waited on the bench. The bathroom door was closed. The support staff member supervised the children on the bench and assisted with handwashing as needed. While waiting, the support staff and children played I Spy. One (1) substitute staff member supervised the restroom use. The children required various forms of assistance, including guidance on proper handwashing, adjusting clothing such as belts, and other prompts. Once all children had finished using the bathroom, the support staff retrieved the walking rope from the staff member in the hallway, closed the door, and conducted a headcount. The process took extra time as some children were not holding the rope and were moving around. Upon leaving the bathroom, a headcount was conducted at the threshold, and children who were not holding the rope were instructed to hold a staff member’s hand. During the walk back to the classroom, the children and staff did not maintain a straight line but instead moved together in a loosely formed cluster. Ms. Lovelace redirected the children’s attention and encouraged them to walk in an orderly line by following the child in front of them. Before entering the classroom, the support staff instructed the staff member at the front of the line to conduct a final headcount as the children crossed the threshold. The staff member accurately counted all children as they reentered the classroom. Per Ms. Lovelace, at least one (1) support staff member or administrative staff is always available to support the transition when male staff members are present. Based on the interview and the self-report, the allegation of supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on March 25, 2025, at approximately 12:30 p.m. during the transition from the bathroom to the classroom space #406. After using the bathroom, the children lined up by the closed bathroom door. As the group exited, a five-year-old child left the line and re-entered one of the eleven (11) individual bathroom stalls. Staff did not conduct a headcount as the children crossed the threshold. As a result, the child was left unattended for approximately two (2) to five (5) minutes before being found by a staff member in another classroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children must be adequately supervised at all times. Continuous review of the supervision procedures, periodic teacher training on supervision, and monitoring by the administrative staff members are strongly advised. The staff members should use additional resources, such as a roster list or a name-to-face count sheet in addition to head counts to prevent mistakes. Positioning of the teachers are equally important in preventing the mistakes. One (1) teacher must be able to see all children if and when the other teacher must aid a few specific children. The communication between staff member is also important to prevent mistakes. Each staff member should conduct headcounts whether doing so out loud or not and not relying on one (1) person. Re-check prior to leaving the space is also an effective practice. You can receive additional resources on https://nrckids.org/ Please refer to 10A NCAC 09 .1801(a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit a corrective statement. If the violations do not require a FU visit include the following: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you have additional question regarding the complaint procedures and/or administrative action, please contact me via email: kaoru.eddins@dhhs.nc.gov or (828)556-9013. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0325-436L Visit Date: 4/3/2025 Number Present: 104 Completed Date: 4/3/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 08:53 AM Time Out: 12:48 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sandra Lovelace, acting Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lovelace assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a G.S. 110-106 license issued on 10/10/24. The Special Services/Restrictions include daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 2/28/25 and sent to me on 3/31/25. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. According to Ms. Lovelace, the incident occurred on March 25, 2025, at approximately 12:30 p.m. Due to staff shortages, the children from space #404 were combined with those from space #406. At the time of the incident, there were twenty (20) children, aged four (4) to five (5) years, under the supervision of two (2) staff members, one lead teacher from space #404 and one lead teacher from space #406. The incident took place during the transition from the bathroom to the classroom. After using the bathroom, the children lined up by the closed bathroom door. As the group exited, a five-year-old child left the line and re-entered one of the eleven (11) individual bathroom stalls. Staff did not conduct a headcount as the children crossed the threshold. As a result, the child was left unattended for approximately two (2) to five (5) minutes before being found by a staff member in another classroom. According to interviews conducted by Ms. Lovelace with the classroom staff, the teachers stated that they performed a headcount upon re-entering the classroom. However, they did not notice that one (1) child was missing from the group. The current transition procedures are as follows: Parents and teachers use the Brightwheel app to sign children in. This app, accessible on tablets or phones, allows staff members to transfer children between classrooms, ensuring an accurate daily roster. Staff members are required to conduct a name-to-face or headcount check before leaving the classroom and perform a headcount while crossing the thresholds. Children are also expected to hold the walking rope during transitions. Additionally, each classroom must report every transition via walkie-talkie, stating the teacher’s name, the number of children in the group, and their destination. Administrative staff members conduct periodic monitoring to make sure that staff members are following the procedures. A support staff member (Training & Scheduling Specialist) conducts weekly monitoring and mentoring sessions with classroom staff on transition procedures. No documentation of these observations was maintained. The support staff member reported some challenges with the use of walking ropes and provided guidance to the classroom teachers on conducting headcounts while crossing thresholds. However, no major concerns were reported to Ms. Lovelace. I observed classrooms #404 and #406. Upon entering, I greeted the staff and introduced myself. In space #404, two (2) substitute staff members were present due to the lead teacher’s absence. Eleven (11) children, aged four (4) to five (5) years, were in the classroom. The children had oatmeal and cut-up apples for breakfast. After eating, they washed their hands and transitioned to group time, where they used flashlights to play an "I Spy" game in a darkened room. In space #406, eleven (11) children, aged three (3) to five (5) years, were present. After breakfast, they washed their hands and briefly engaged in free play. The transition procedures for space #404 and #406 was observed. The transition procedures for spaces #404 and #406 were observed. Eleven (11) children from space #406 transitioned to the bathroom. In the classroom, the teachers placed the walking rope in front of the door. The lead teacher held the first ring and stood at the front of the line, while the other teacher held the last ring. The lead teacher called each child’s name, and as they were called, the children grabbed a ring on the rope. Once all the children were lined up, the lead teacher conducted a headcount. One (1) child was upset and was held by the lead teacher. The lead teacher designated one (1) child to hold the door and conducted another headcount as the children crossed the threshold. The teacher at the end of the line allowed the designated child to rejoin the group in the hallway before closing the classroom door. The bathroom door was propped open. The lead teacher conducted another headcount as the children entered the bathroom. Inside, the lead teacher directed the boys to sit on the bench while the girls began using the bathroom. Once all the children were inside, the lead teacher closed the bathroom door. The teacher supervised the children using the bathroom, while the lead teacher monitored the children on the bench and assisted with handwashing. During this time, the lead teacher read Green Eggs and Ham to the children waiting on the bench and provided handwashing assistance as needed. Handwashing procedures were followed thoroughly. Once all children finished using the bathroom, they held onto the rope with their teachers. The teacher reported the transition via walkie-talkie. Before opening the bathroom door, the lead teacher conducted a final headcount, and the group exited the bathroom, returning to the classroom. The transition procedure to re-enter the classroom was not observed due to the children in #404 already in transition. I shifted my observation to the group in space #404. Two (2) substitute staff members, one (1) support staff member, and eleven (11) children transitioned to the bathroom. Two (2) children were not holding a ring on the walking rope, and one (1) child was held by the staff member leading the group. During the transition, one (1) of the children who was not holding the rope ran off. The staff member leading the line and the support staff member pursued the child, while the remaining staff member stayed with the rest of the group and led them to the bathroom. Upon arrival, a male staff member waited in the hallway, following program policy, while the other two (2) staff members entered the bathroom. I was unable to observe the procedure as the children entered. Inside the bathroom, the boys used the restroom first while the girls waited on the bench. The bathroom door was closed. The support staff member supervised the children on the bench and assisted with handwashing as needed. While waiting, the support staff and children played I Spy. One (1) substitute staff member supervised the restroom use. The children required various forms of assistance, including guidance on proper handwashing, adjusting clothing such as belts, and other prompts. Once all children had finished using the bathroom, the support staff retrieved the walking rope from the staff member in the hallway, closed the door, and conducted a headcount. The process took extra time as some children were not holding the rope and were moving around. Upon leaving the bathroom, a headcount was conducted at the threshold, and children who were not holding the rope were instructed to hold a staff member’s hand. During the walk back to the classroom, the children and staff did not maintain a straight line but instead moved together in a loosely formed cluster. Ms. Lovelace redirected the children’s attention and encouraged them to walk in an orderly line by following the child in front of them. Before entering the classroom, the support staff instructed the staff member at the front of the line to conduct a final headcount as the children crossed the threshold. The staff member accurately counted all children as they reentered the classroom. Per Ms. Lovelace, at least one (1) support staff member or administrative staff is always available to support the transition when male staff members are present. Based on the interview and the self-report, the allegation of supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on March 25, 2025, at approximately 12:30 p.m. during the transition from the bathroom to the classroom space #406. After using the bathroom, the children lined up by the closed bathroom door. As the group exited, a five-year-old child left the line and re-entered one of the eleven (11) individual bathroom stalls. Staff did not conduct a headcount as the children crossed the threshold. As a result, the child was left unattended for approximately two (2) to five (5) minutes before being found by a staff member in another classroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children must be adequately supervised at all times. Continuous review of the supervision procedures, periodic teacher training on supervision, and monitoring by the administrative staff members are strongly advised. The staff members should use additional resources, such as a roster list or a name-to-face count sheet in addition to head counts to prevent mistakes. Positioning of the teachers are equally important in preventing the mistakes. One (1) teacher must be able to see all children if and when the other teacher must aid a few specific children. The communication between staff member is also important to prevent mistakes. Each staff member should conduct headcounts whether doing so out loud or not and not relying on one (1) person. Re-check prior to leaving the space is also an effective practice. You can receive additional resources on https://nrckids.org/ Please refer to 10A NCAC 09 .1801(a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit a corrective statement. If the violations do not require a FU visit include the following: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you have additional question regarding the complaint procedures and/or administrative action, please contact me via email: kaoru.eddins@dhhs.nc.gov or (828)556-9013. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1801 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-030L Visit Date: 1/17/2025 Number Present: 59 Completed Date: 1/17/2025 Age: From 0 To 5 Total Minutes: 218 Time In: 08:52 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Enrollment Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Crow assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS 110-106 issued on 10/10/24. The Special Services/Restrictions includes daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 1/3/25 and sent to me on 1/6/25. There is a concern of inadequate supervision. Upon arrival, I announced my presence and the purpose of the visit. Ms. Crow was interviewed. Per interview, the incident occurred on 12/31/24 at approximately at 4:45 pm. A group of six (6) children from space #408, four-to-five years of age, and five (5) children from space #404, three (3) years of age, were combined on the playground #3. The group of eleven (11) children and two (2) staff members came in to the building and used the communal girl’s bathroom located across the hallway from the entrance lobby. One (1) teacher was in the bathroom aiding the children, while the other teacher was in the hallway supervising the children who finished using the bathroom. One (1) child, three (3) years of age, walked away from the group and went in the classroom space #410, which is the closest classroom by the bathroom. Upon finishing the bathroom, the group of ten (10) children and two (2) staff members walked down the hallway, existed the building and went to playground #2. The child, three (3) years of age were left unsupervised in the space #410 for approximately five-to-eight minutes until a teacher from space #410 found the child. At the time the child was found, the classroom was empty and no one else was present. Since the incident, the program has implemented “On the Go Roster”. This is the system teachers use during the transitions. There are two (2) laminated sheets of paper with children’s names listed for each classroom. Teachers are responsible for conducting name-to-face count upon each transition. Per Ms. Crow, they are expected to use “On the Go Roster” for every threshold. During the visit, several transitions were monitored. Eight (8) children were present in space #406. The group of four-to-five-year-old children used the bathroom located at the end of the hallway, where there was one (1) toilet. While one (1) child use the bathroom, the rest of the children sat in the hallway with one (1) child. Another teacher supervised the use of the bathroom. On the Go roster was utilized upon leaving the classroom and re-entering the classroom after the use of bathroom. The children from space #414 and space #410 were combined in space #414 with four (4) teachers. A group of two-year-old children engaged in free play. Two (2) staff members took two (2) children who were potty trained to the bathroom. The children use the boy’s bathroom located across from the girl’s bathroom by the entrance lobby. There were four (4) toilets in the boy’s bathroom. On the “On the Go Roster” sheet, two (2) children were marked as “out” and eight (8) children had check marks next to their names. In the classroom #414, there were sixteen (16) children present. Sixteen (16) children from space #414 (and #410 combined), all two (2) years of age, later transitioned to the playground. Some of the children went to playground space #1 and some went to playground space #3. “On the Go Roster” was not filled out when the group went through the threshold from the building to outside and threshold for playgrounds. A group of ten (10) children, two-to-three years of age in space #408 transitioned to use the bathroom at 10:15 am. The children were instructed to hold a rope. One (1) child ran away from the group, but one (1) of the teachers picked up the child and brought him/her back to the group. The children use the gril’s bathroom where there were eleven (11) toilets. Before leaving the bathroom, the teacher used “On the Go Roster” and added checkmarks next to the children’s names. Based on the interview, allegation regarding supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on 12/31/24 at approximately 4:45 pm. A group of six (6) children from space #408, four-to-five years of age, and five (5) children from space #404, three (3) years of age, were combined on the playground #3. The group of eleven (11) children and two (2) staff members came into the building and use the communal girl’s bathroom located across the hallway from the entrance lobby. One (1) teacher was in the bathroom aiding the children, while the other teacher was in the hallway supervising the children who finished using the bathroom. One (1) child, three (3) years of age, walked away from the group and went in the classroom space #410, which is the closest classroom by the bathroom. Upon finishing the bathroom, the group of ten (10) children and two (2) staff members walked down the hallway, exited the building and went to playground #2. The child, three (3) years of age were left unsupervised in the space #410 for approximately five-to-eight minutes until a teacher from space #410 found the child. At the time the child was found, the classroom was empty and no one else was present. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children shall be supervised at all times. The staff members shall be able to adequately hear or see the children. Transition times are the most common periods when teachers may make supervision mistakes. To minimize these errors and reduce children's behavioral issues, transitions should be as brief and efficient as possible. One teacher should assist children individually, while the other supervises the group. Supportive tools, such as name-to-face logs, can help ensure accountability during these times. Strategies to further reduce wait times include engaging children with finger plays, songs, or similar activities. Additionally, consider requesting extra staff to assist with transitions or dividing the class into two smaller groups to facilitate smoother movement. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Effective supervision: Short and effective transition: Boredom can cause challenging behaviors. All the teachers’ attentions tend to go to the child(ren) who is misbehaving. As a result, the supervision for the whole group may become inadequate. Explore ways to shorten transitions by assigning extra floaters to aid the group, divide groups into smaller groups and/or use the bathroom with more toilets. “On the Go Roster”: Please consider the ease of the form. Do all staff members know all enrolled children? Is the form easy to use for substitute staff members and non-traditional classroom staff? How do administrative staff members monitor the appropriate use of the form? What do teachers do when classrooms are combined? These are the questions to discuss to improve the form. “On the Go Roster” is laminated so that the teachers can write on the sheet with dry erasers. However, some teachers erase the check marks before each transition, which makes monitoring challenging. Positioning of teachers: During transition, it is important for teachers to position themselves for adequate supervision. At least one (1) teacher should position self where all children are visible. Teachers shall be aware of blind spots and each child’s personalities so that they are aware where and who to watch more carefully during transition. Threshold counts: Some teachers are using “On the Go form” before the group cross the threshold. However, it is possible for a child to walk away after all children were counted and before they crossed the threshold. It is important for teachers to count children while crossing threshold. For younger children, use of forms may not be easy. Please explore what works best for each classroom/age group. It is helpful for both teachers to conduct head counts separately and communicate with each other on the count (e.g. I got 10, how many did you count?, etc.). Teacher training: Please have active discussion with staff members to improve form, strategies for transition, challenges they face, etc. Mastering transition requires continuous training and practice. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2201 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-030L Visit Date: 1/17/2025 Number Present: 59 Completed Date: 1/17/2025 Age: From 0 To 5 Total Minutes: 218 Time In: 08:52 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Enrollment Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Crow assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS 110-106 issued on 10/10/24. The Special Services/Restrictions includes daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 1/3/25 and sent to me on 1/6/25. There is a concern of inadequate supervision. Upon arrival, I announced my presence and the purpose of the visit. Ms. Crow was interviewed. Per interview, the incident occurred on 12/31/24 at approximately at 4:45 pm. A group of six (6) children from space #408, four-to-five years of age, and five (5) children from space #404, three (3) years of age, were combined on the playground #3. The group of eleven (11) children and two (2) staff members came in to the building and used the communal girl’s bathroom located across the hallway from the entrance lobby. One (1) teacher was in the bathroom aiding the children, while the other teacher was in the hallway supervising the children who finished using the bathroom. One (1) child, three (3) years of age, walked away from the group and went in the classroom space #410, which is the closest classroom by the bathroom. Upon finishing the bathroom, the group of ten (10) children and two (2) staff members walked down the hallway, existed the building and went to playground #2. The child, three (3) years of age were left unsupervised in the space #410 for approximately five-to-eight minutes until a teacher from space #410 found the child. At the time the child was found, the classroom was empty and no one else was present. Since the incident, the program has implemented “On the Go Roster”. This is the system teachers use during the transitions. There are two (2) laminated sheets of paper with children’s names listed for each classroom. Teachers are responsible for conducting name-to-face count upon each transition. Per Ms. Crow, they are expected to use “On the Go Roster” for every threshold. During the visit, several transitions were monitored. Eight (8) children were present in space #406. The group of four-to-five-year-old children used the bathroom located at the end of the hallway, where there was one (1) toilet. While one (1) child use the bathroom, the rest of the children sat in the hallway with one (1) child. Another teacher supervised the use of the bathroom. On the Go roster was utilized upon leaving the classroom and re-entering the classroom after the use of bathroom. The children from space #414 and space #410 were combined in space #414 with four (4) teachers. A group of two-year-old children engaged in free play. Two (2) staff members took two (2) children who were potty trained to the bathroom. The children use the boy’s bathroom located across from the girl’s bathroom by the entrance lobby. There were four (4) toilets in the boy’s bathroom. On the “On the Go Roster” sheet, two (2) children were marked as “out” and eight (8) children had check marks next to their names. In the classroom #414, there were sixteen (16) children present. Sixteen (16) children from space #414 (and #410 combined), all two (2) years of age, later transitioned to the playground. Some of the children went to playground space #1 and some went to playground space #3. “On the Go Roster” was not filled out when the group went through the threshold from the building to outside and threshold for playgrounds. A group of ten (10) children, two-to-three years of age in space #408 transitioned to use the bathroom at 10:15 am. The children were instructed to hold a rope. One (1) child ran away from the group, but one (1) of the teachers picked up the child and brought him/her back to the group. The children use the gril’s bathroom where there were eleven (11) toilets. Before leaving the bathroom, the teacher used “On the Go Roster” and added checkmarks next to the children’s names. Based on the interview, allegation regarding supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on 12/31/24 at approximately 4:45 pm. A group of six (6) children from space #408, four-to-five years of age, and five (5) children from space #404, three (3) years of age, were combined on the playground #3. The group of eleven (11) children and two (2) staff members came into the building and use the communal girl’s bathroom located across the hallway from the entrance lobby. One (1) teacher was in the bathroom aiding the children, while the other teacher was in the hallway supervising the children who finished using the bathroom. One (1) child, three (3) years of age, walked away from the group and went in the classroom space #410, which is the closest classroom by the bathroom. Upon finishing the bathroom, the group of ten (10) children and two (2) staff members walked down the hallway, exited the building and went to playground #2. The child, three (3) years of age were left unsupervised in the space #410 for approximately five-to-eight minutes until a teacher from space #410 found the child. At the time the child was found, the classroom was empty and no one else was present. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children shall be supervised at all times. The staff members shall be able to adequately hear or see the children. Transition times are the most common periods when teachers may make supervision mistakes. To minimize these errors and reduce children's behavioral issues, transitions should be as brief and efficient as possible. One teacher should assist children individually, while the other supervises the group. Supportive tools, such as name-to-face logs, can help ensure accountability during these times. Strategies to further reduce wait times include engaging children with finger plays, songs, or similar activities. Additionally, consider requesting extra staff to assist with transitions or dividing the class into two smaller groups to facilitate smoother movement. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Effective supervision: Short and effective transition: Boredom can cause challenging behaviors. All the teachers’ attentions tend to go to the child(ren) who is misbehaving. As a result, the supervision for the whole group may become inadequate. Explore ways to shorten transitions by assigning extra floaters to aid the group, divide groups into smaller groups and/or use the bathroom with more toilets. “On the Go Roster”: Please consider the ease of the form. Do all staff members know all enrolled children? Is the form easy to use for substitute staff members and non-traditional classroom staff? How do administrative staff members monitor the appropriate use of the form? What do teachers do when classrooms are combined? These are the questions to discuss to improve the form. “On the Go Roster” is laminated so that the teachers can write on the sheet with dry erasers. However, some teachers erase the check marks before each transition, which makes monitoring challenging. Positioning of teachers: During transition, it is important for teachers to position themselves for adequate supervision. At least one (1) teacher should position self where all children are visible. Teachers shall be aware of blind spots and each child’s personalities so that they are aware where and who to watch more carefully during transition. Threshold counts: Some teachers are using “On the Go form” before the group cross the threshold. However, it is possible for a child to walk away after all children were counted and before they crossed the threshold. It is important for teachers to count children while crossing threshold. For younger children, use of forms may not be easy. Please explore what works best for each classroom/age group. It is helpful for both teachers to conduct head counts separately and communicate with each other on the count (e.g. I got 10, how many did you count?, etc.). Teacher training: Please have active discussion with staff members to improve form, strategies for transition, challenges they face, etc. Mastering transition requires continuous training and practice. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-030L Visit Date: 1/17/2025 Number Present: 59 Completed Date: 1/17/2025 Age: From 0 To 5 Total Minutes: 218 Time In: 08:52 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Enrollment Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Crow assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS 110-106 issued on 10/10/24. The Special Services/Restrictions includes daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 1/3/25 and sent to me on 1/6/25. There is a concern of inadequate supervision. Upon arrival, I announced my presence and the purpose of the visit. Ms. Crow was interviewed. Per interview, the incident occurred on 12/31/24 at approximately at 4:45 pm. A group of six (6) children from space #408, four-to-five years of age, and five (5) children from space #404, three (3) years of age, were combined on the playground #3. The group of eleven (11) children and two (2) staff members came in to the building and used the communal girl’s bathroom located across the hallway from the entrance lobby. One (1) teacher was in the bathroom aiding the children, while the other teacher was in the hallway supervising the children who finished using the bathroom. One (1) child, three (3) years of age, walked away from the group and went in the classroom space #410, which is the closest classroom by the bathroom. Upon finishing the bathroom, the group of ten (10) children and two (2) staff members walked down the hallway, existed the building and went to playground #2. The child, three (3) years of age were left unsupervised in the space #410 for approximately five-to-eight minutes until a teacher from space #410 found the child. At the time the child was found, the classroom was empty and no one else was present. Since the incident, the program has implemented “On the Go Roster”. This is the system teachers use during the transitions. There are two (2) laminated sheets of paper with children’s names listed for each classroom. Teachers are responsible for conducting name-to-face count upon each transition. Per Ms. Crow, they are expected to use “On the Go Roster” for every threshold. During the visit, several transitions were monitored. Eight (8) children were present in space #406. The group of four-to-five-year-old children used the bathroom located at the end of the hallway, where there was one (1) toilet. While one (1) child use the bathroom, the rest of the children sat in the hallway with one (1) child. Another teacher supervised the use of the bathroom. On the Go roster was utilized upon leaving the classroom and re-entering the classroom after the use of bathroom. The children from space #414 and space #410 were combined in space #414 with four (4) teachers. A group of two-year-old children engaged in free play. Two (2) staff members took two (2) children who were potty trained to the bathroom. The children use the boy’s bathroom located across from the girl’s bathroom by the entrance lobby. There were four (4) toilets in the boy’s bathroom. On the “On the Go Roster” sheet, two (2) children were marked as “out” and eight (8) children had check marks next to their names. In the classroom #414, there were sixteen (16) children present. Sixteen (16) children from space #414 (and #410 combined), all two (2) years of age, later transitioned to the playground. Some of the children went to playground space #1 and some went to playground space #3. “On the Go Roster” was not filled out when the group went through the threshold from the building to outside and threshold for playgrounds. A group of ten (10) children, two-to-three years of age in space #408 transitioned to use the bathroom at 10:15 am. The children were instructed to hold a rope. One (1) child ran away from the group, but one (1) of the teachers picked up the child and brought him/her back to the group. The children use the gril’s bathroom where there were eleven (11) toilets. Before leaving the bathroom, the teacher used “On the Go Roster” and added checkmarks next to the children’s names. Based on the interview, allegation regarding supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on 12/31/24 at approximately 4:45 pm. A group of six (6) children from space #408, four-to-five years of age, and five (5) children from space #404, three (3) years of age, were combined on the playground #3. The group of eleven (11) children and two (2) staff members came into the building and use the communal girl’s bathroom located across the hallway from the entrance lobby. One (1) teacher was in the bathroom aiding the children, while the other teacher was in the hallway supervising the children who finished using the bathroom. One (1) child, three (3) years of age, walked away from the group and went in the classroom space #410, which is the closest classroom by the bathroom. Upon finishing the bathroom, the group of ten (10) children and two (2) staff members walked down the hallway, exited the building and went to playground #2. The child, three (3) years of age were left unsupervised in the space #410 for approximately five-to-eight minutes until a teacher from space #410 found the child. At the time the child was found, the classroom was empty and no one else was present. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children shall be supervised at all times. The staff members shall be able to adequately hear or see the children. Transition times are the most common periods when teachers may make supervision mistakes. To minimize these errors and reduce children's behavioral issues, transitions should be as brief and efficient as possible. One teacher should assist children individually, while the other supervises the group. Supportive tools, such as name-to-face logs, can help ensure accountability during these times. Strategies to further reduce wait times include engaging children with finger plays, songs, or similar activities. Additionally, consider requesting extra staff to assist with transitions or dividing the class into two smaller groups to facilitate smoother movement. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Effective supervision: Short and effective transition: Boredom can cause challenging behaviors. All the teachers’ attentions tend to go to the child(ren) who is misbehaving. As a result, the supervision for the whole group may become inadequate. Explore ways to shorten transitions by assigning extra floaters to aid the group, divide groups into smaller groups and/or use the bathroom with more toilets. “On the Go Roster”: Please consider the ease of the form. Do all staff members know all enrolled children? Is the form easy to use for substitute staff members and non-traditional classroom staff? How do administrative staff members monitor the appropriate use of the form? What do teachers do when classrooms are combined? These are the questions to discuss to improve the form. “On the Go Roster” is laminated so that the teachers can write on the sheet with dry erasers. However, some teachers erase the check marks before each transition, which makes monitoring challenging. Positioning of teachers: During transition, it is important for teachers to position themselves for adequate supervision. At least one (1) teacher should position self where all children are visible. Teachers shall be aware of blind spots and each child’s personalities so that they are aware where and who to watch more carefully during transition. Threshold counts: Some teachers are using “On the Go form” before the group cross the threshold. However, it is possible for a child to walk away after all children were counted and before they crossed the threshold. It is important for teachers to count children while crossing threshold. For younger children, use of forms may not be easy. Please explore what works best for each classroom/age group. It is helpful for both teachers to conduct head counts separately and communicate with each other on the count (e.g. I got 10, how many did you count?, etc.). Teacher training: Please have active discussion with staff members to improve form, strategies for transition, challenges they face, etc. Mastering transition requires continuous training and practice. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-030L Visit Date: 1/17/2025 Number Present: 59 Completed Date: 1/17/2025 Age: From 0 To 5 Total Minutes: 218 Time In: 08:52 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Enrollment Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Crow assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a GS 110-106 issued on 10/10/24. The Special Services/Restrictions includes daytime care and children in care on ground level only. The complaint was received by the Division of Child Development and Early Education on 1/3/25 and sent to me on 1/6/25. There is a concern of inadequate supervision. Upon arrival, I announced my presence and the purpose of the visit. Ms. Crow was interviewed. Per interview, the incident occurred on 12/31/24 at approximately at 4:45 pm. A group of six (6) children from space #408, four-to-five years of age, and five (5) children from space #404, three (3) years of age, were combined on the playground #3. The group of eleven (11) children and two (2) staff members came in to the building and used the communal girl’s bathroom located across the hallway from the entrance lobby. One (1) teacher was in the bathroom aiding the children, while the other teacher was in the hallway supervising the children who finished using the bathroom. One (1) child, three (3) years of age, walked away from the group and went in the classroom space #410, which is the closest classroom by the bathroom. Upon finishing the bathroom, the group of ten (10) children and two (2) staff members walked down the hallway, existed the building and went to playground #2. The child, three (3) years of age were left unsupervised in the space #410 for approximately five-to-eight minutes until a teacher from space #410 found the child. At the time the child was found, the classroom was empty and no one else was present. Since the incident, the program has implemented “On the Go Roster”. This is the system teachers use during the transitions. There are two (2) laminated sheets of paper with children’s names listed for each classroom. Teachers are responsible for conducting name-to-face count upon each transition. Per Ms. Crow, they are expected to use “On the Go Roster” for every threshold. During the visit, several transitions were monitored. Eight (8) children were present in space #406. The group of four-to-five-year-old children used the bathroom located at the end of the hallway, where there was one (1) toilet. While one (1) child use the bathroom, the rest of the children sat in the hallway with one (1) child. Another teacher supervised the use of the bathroom. On the Go roster was utilized upon leaving the classroom and re-entering the classroom after the use of bathroom. The children from space #414 and space #410 were combined in space #414 with four (4) teachers. A group of two-year-old children engaged in free play. Two (2) staff members took two (2) children who were potty trained to the bathroom. The children use the boy’s bathroom located across from the girl’s bathroom by the entrance lobby. There were four (4) toilets in the boy’s bathroom. On the “On the Go Roster” sheet, two (2) children were marked as “out” and eight (8) children had check marks next to their names. In the classroom #414, there were sixteen (16) children present. Sixteen (16) children from space #414 (and #410 combined), all two (2) years of age, later transitioned to the playground. Some of the children went to playground space #1 and some went to playground space #3. “On the Go Roster” was not filled out when the group went through the threshold from the building to outside and threshold for playgrounds. A group of ten (10) children, two-to-three years of age in space #408 transitioned to use the bathroom at 10:15 am. The children were instructed to hold a rope. One (1) child ran away from the group, but one (1) of the teachers picked up the child and brought him/her back to the group. The children use the gril’s bathroom where there were eleven (11) toilets. Before leaving the bathroom, the teacher used “On the Go Roster” and added checkmarks next to the children’s names. Based on the interview, allegation regarding supervision was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on 12/31/24 at approximately 4:45 pm. A group of six (6) children from space #408, four-to-five years of age, and five (5) children from space #404, three (3) years of age, were combined on the playground #3. The group of eleven (11) children and two (2) staff members came into the building and use the communal girl’s bathroom located across the hallway from the entrance lobby. One (1) teacher was in the bathroom aiding the children, while the other teacher was in the hallway supervising the children who finished using the bathroom. One (1) child, three (3) years of age, walked away from the group and went in the classroom space #410, which is the closest classroom by the bathroom. Upon finishing the bathroom, the group of ten (10) children and two (2) staff members walked down the hallway, exited the building and went to playground #2. The child, three (3) years of age were left unsupervised in the space #410 for approximately five-to-eight minutes until a teacher from space #410 found the child. At the time the child was found, the classroom was empty and no one else was present. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children shall be supervised at all times. The staff members shall be able to adequately hear or see the children. Transition times are the most common periods when teachers may make supervision mistakes. To minimize these errors and reduce children's behavioral issues, transitions should be as brief and efficient as possible. One teacher should assist children individually, while the other supervises the group. Supportive tools, such as name-to-face logs, can help ensure accountability during these times. Strategies to further reduce wait times include engaging children with finger plays, songs, or similar activities. Additionally, consider requesting extra staff to assist with transitions or dividing the class into two smaller groups to facilitate smoother movement. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Effective supervision: Short and effective transition: Boredom can cause challenging behaviors. All the teachers’ attentions tend to go to the child(ren) who is misbehaving. As a result, the supervision for the whole group may become inadequate. Explore ways to shorten transitions by assigning extra floaters to aid the group, divide groups into smaller groups and/or use the bathroom with more toilets. “On the Go Roster”: Please consider the ease of the form. Do all staff members know all enrolled children? Is the form easy to use for substitute staff members and non-traditional classroom staff? How do administrative staff members monitor the appropriate use of the form? What do teachers do when classrooms are combined? These are the questions to discuss to improve the form. “On the Go Roster” is laminated so that the teachers can write on the sheet with dry erasers. However, some teachers erase the check marks before each transition, which makes monitoring challenging. Positioning of teachers: During transition, it is important for teachers to position themselves for adequate supervision. At least one (1) teacher should position self where all children are visible. Teachers shall be aware of blind spots and each child’s personalities so that they are aware where and who to watch more carefully during transition. Threshold counts: Some teachers are using “On the Go form” before the group cross the threshold. However, it is possible for a child to walk away after all children were counted and before they crossed the threshold. It is important for teachers to count children while crossing threshold. For younger children, use of forms may not be easy. Please explore what works best for each classroom/age group. It is helpful for both teachers to conduct head counts separately and communicate with each other on the count (e.g. I got 10, how many did you count?, etc.). Teacher training: Please have active discussion with staff members to improve form, strategies for transition, challenges they face, etc. Mastering transition requires continuous training and practice. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .0304 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .0803 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1101 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1102 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1703 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 110105 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 77 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 412 Time In: 08:53 AM Time Out: 03:45 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Grayson Crow, Curriculum Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Crow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Biltmore Baptist Church is current/active as of 12/9/24. Permit type – GS 110-106 issued on 10/10/24. Special Services/Restrictions – daytime care and children in care on ground level only. This is their first annual compliance visit since the license has been issued. The last fire drill was practiced on 11/5/24. The last shelter-in-place drill was practiced on 9/16/24. The last playground inspection was documented on 11/21/24. The last fire inspection was approved on 11/6/23. Please notify your Fire Marshall regarding your fire inspection. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #404, a group of four-to-five-year-old children participated in group time activities. The children reviewed letters and numbers with the teachers. In space #408, a group of three-year-old children transitioned to the playground. Before headed out to the playground, the children used bathrooms in the hallway. The supervision was adequate during the transition. The children from space #414 played on the playground. The children played with the slide structures. Due to space #410 being closed due to staff shortage, some of the children from #410 joined #414. In space #418, a group of one-year-old children engaged in free play in the classroom with various materials. The children in space #419 rode a buggy and went for a walk during the visit. In space #420, a group of infants and one-year-old children engaged in various activities. One (1) child’s diaper was changed during the visit. Other children explored the environment. In space #421, a group of infants interacted with the teachers. One (1) child was asleep in the crib. Sleep check was conducted electronically on the tablet. In space #422, one (1) child slept in the crib, and the other child was changed diaper during the visit. Interaction and supervision were adequate. No safety hazards were found on the playground. The children had chicken/avocado wrap with tomatoes, lettuce and mayo, peaches, and milk for lunch. The school-age was added to the license on 10/10/24. No school-age children were currently enrolled. Staff and Training Worksheet was submitted during the visit. Twenty-four (24) new staff files and four (4) existing staff files were monitored. Ten (10) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 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. A child's hands were not washed after diaper change in space #422. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member did not wash hands after diaper change in space #422. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin cream was maintained on the top shelf along with the other diaper creams in space #414. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. 10A NCAC 09 .0802(a) 1757 A valid qualification letter was not on file and available to review at the facility. The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated. .0607(e) Technical assistance was provided as follows: 608: children’s handwashing Infants’ hands must be washed after each diaper changing. Please review the handwashing requirements per 15A NCAC 18A .2803(c). 609: Staff handwashing Staff member shall wash hands after diapering even when gloves are worn. Please review the handwashing requirements per 15A NCAC 18A .2803(a) Please review the diapering procedures with your staff members. The children’s hands shall be wiped with wipes and wash their hands with soap and running water. Staff member’s hand shall be on the child at all time to ensure the safety of the child during diaper change. 841: Storage of medication All prescription medications and over-the-counter medications shall be stored in a locked storage. Nystatin in space #414 must be stored in a locked storage per 15A NCAC 18A .2820(b). 862: Emergency Medical Care (EMC) Plan 1824: Emergency Preparedness and Response (EPR) Plan Both EMC and EPR plan shall be reviewed with staff members by the trained staff member annually. Documentation of the review shall be maintained for me to review upon routine visits. T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos need to review the facility’s EMC and EPR plans guided by the trained staff members immediately. 1757: Criminal Background letter Criminal background letter shall be printed and maintained in the staff file. Please print qualifying letter for C. Stewart and file the document in the staff file. Additional technical assistance was provided for the following times. Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance: 106: Fire inspection Fire inspection is required annually. Please notify your Fire Marshall that you need an inspection sometime soon. Annual fire safety training is required to pass the inspection. 1030: employment application Application for employment including date of birth shall be maintained in the staff files. E. Fitzmaurice’s application shall be filed in the staff file. 1032: Medical statement 1033: TB Medical screening and TB screening shall be completed prior to employment. This shall be pre-employment screening. Per Ms. Crow, she will discuss this matter with HR personnel to make sure that theses requirements are completed prior to employment. B. Chalk’s medical statement and TB screening documentation shall be acquired and maintain them in the staff file. Many of the new staff member’s medical statements and TB screenings were conducted after their first day of employment. Please refer to your Staff and Training Worksheet. 1035: Emergency information form Emergency information form is required for all staff members on or prior to the first day of employment. Please make sure that the new employees fill out the form on the first day of employment. 1067: per 10A NCAC 09 .1101(a)(b), all topic areas listed on the orientation sheet, except for the review of enhanced ratios, shall be reviewed with your new employees. A. Reid needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment. • Prevention and control of infectious diseases, including immunizations. T. Gison needs to review the following topics: • Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to GS 110105.4 and GS7B-301. • Prevention and control of infectious diseases, including immunizations. • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803. • Prevention and response to emergencies due to food and allergic reactions. 1321: Health assessment Medical exam or health assessment for enrolled children shall be on file before or within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. 1323: Immunization records Immunization records shall be in each child’s file within thirty (30) days of enrollment. Per Ms. Crow, she will have a conversation with the parent to obtain the document as soon as possible. Achieving Compliance: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Compliance rate: Ms. Crow and I discussed the current compliance rate. It is important to maintain the compliance rate of seventy-five (75) percent or higher. After today’s visit, your compliance rate will be eighty-three (83) percent. Shelter-in-place drill: Please conduct a shelter-in-place or a lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .0604 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 37 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kim Vanderlip, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kim Vanderlip, Program Coordinator, accompanied me. Indoor and outdoor areas were monitored , including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This facility’s compliance rate has not been established yet. Permit type – GS110-106 issued on 12/13/23. Special Services/Restrictions – daytime care, children in care on ground level only. The last Letter of Intent visit was conducted on 12/7/23. The last fire drill was practiced on 1/19/24. The last lockdown drill was practiced on 1/24/24. The last playground inspection was documented on 11/27/23. The last fire inspection was completed. However, the date is missing from the form. I contacted the Fire Marshall during the visit and left a message. Please contact the Fire Marshall and get the date. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1 (Rm 303), a group of four-year-old children used the common bathroom, put on their jackets, and went outside. In the classroom, hazardous materials and medications were monitored. In space #5 (Rm 408), a group of three-year-old children engaged in art activity. The children tore cotton and glued them on the paper to make clouds. In space #9 (Rm 416), a group of two-year-old children engaged in free play using connecting piles, crayons paper, and other materials. In space #11 (Rm 418) a group of one-to-two-year-old children engaged in free play using housekeeping materials, train tracks, blocks, and accessories. Lunch was served in this classroom. Today’s menu was chicken nuggets, sweet potato chips, sliced pears, bread and milk. The items served matched the food listed on the menu. In space #14 (Rm 421) a group of infants were present. One (1) child slept in the crib. Four (4) children explored the environment, mouthed toys interacted with the caregivers. Various medications including emergency medications and diaper creams were present in all classrooms. In room 404, a permission form for a diaper cream was not present. In room 408, an action plan for an emergency medication was not in file. In room 416, permission forms were not present for two (2) medications. The permission forms and action plans were later found and placed in the right folder. Four (4) cans of shaving cream were present in room 408. Shaving cream cans are aerosol, therefore, the items must be stored in locked storage. Sixteen (16) existing staff members’ files were monitored for criminal background letters, ITS/SIDS training certificates, and CPR/First Aid certificates. Four (4) new staff member’s files were monitored in full. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1 (Room 404), two (2) outlets on the wall above the counter was not covered with safety outlet covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In #408, two (2) cans of shaving cream were on the counter less than five (5) feet high, and two (2) cans of shaving cream were on the top shelf in the cabinet with baby-proof slide lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 11/27/23. .0605(q) 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. First Aid training certificate for the staff member, CG was not maintained in the staff file. .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. CPR training certificate for the staff member, CG was not maintained in the staff file. .1102(d) Technical assistance was provided as follows: 812: Electrical outlets All electrical outlets under five (5) feet shall be covered by the safety outlet cover unless there is a built-in safety already installed in the outlet. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Potentially hazardous products Aerosol products are considered potentially hazardous to the children, and they shall be stored in a locked storage. Baby proofing is not considered sufficient. The locked storage shall be locked with a key, a magnetic lock or a combination lock. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 859: Playground inspection The playground inspection shall be completed monthly. Please complete the form for December 2023 and January 2024 immediately. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment. The training certificate shall be maintained in the staff files. If the training certificate has not been issued, you should file attendance roster or other verification of participation in the training. You can contact your trainer to request the certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Consultation: Orientation: The topics listed on the orientation form must be reviewed with each new staff member. These topics are not about general knowledge but rather pertain to specific matters related to your center. For instance, every center must have bloodborne pathogen kit(s). During orientation, each staff member should learn the location where the bloodborne pathogen kit is stored and understand how to dispose of contaminated items. Health and Safety Training: The health and safety training shall be renewed every five (5) years. The staff member hired on 1/9/24 shall complete the training prior to 1/9/25. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 37 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kim Vanderlip, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kim Vanderlip, Program Coordinator, accompanied me. Indoor and outdoor areas were monitored , including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This facility’s compliance rate has not been established yet. Permit type – GS110-106 issued on 12/13/23. Special Services/Restrictions – daytime care, children in care on ground level only. The last Letter of Intent visit was conducted on 12/7/23. The last fire drill was practiced on 1/19/24. The last lockdown drill was practiced on 1/24/24. The last playground inspection was documented on 11/27/23. The last fire inspection was completed. However, the date is missing from the form. I contacted the Fire Marshall during the visit and left a message. Please contact the Fire Marshall and get the date. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1 (Rm 303), a group of four-year-old children used the common bathroom, put on their jackets, and went outside. In the classroom, hazardous materials and medications were monitored. In space #5 (Rm 408), a group of three-year-old children engaged in art activity. The children tore cotton and glued them on the paper to make clouds. In space #9 (Rm 416), a group of two-year-old children engaged in free play using connecting piles, crayons paper, and other materials. In space #11 (Rm 418) a group of one-to-two-year-old children engaged in free play using housekeeping materials, train tracks, blocks, and accessories. Lunch was served in this classroom. Today’s menu was chicken nuggets, sweet potato chips, sliced pears, bread and milk. The items served matched the food listed on the menu. In space #14 (Rm 421) a group of infants were present. One (1) child slept in the crib. Four (4) children explored the environment, mouthed toys interacted with the caregivers. Various medications including emergency medications and diaper creams were present in all classrooms. In room 404, a permission form for a diaper cream was not present. In room 408, an action plan for an emergency medication was not in file. In room 416, permission forms were not present for two (2) medications. The permission forms and action plans were later found and placed in the right folder. Four (4) cans of shaving cream were present in room 408. Shaving cream cans are aerosol, therefore, the items must be stored in locked storage. Sixteen (16) existing staff members’ files were monitored for criminal background letters, ITS/SIDS training certificates, and CPR/First Aid certificates. Four (4) new staff member’s files were monitored in full. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1 (Room 404), two (2) outlets on the wall above the counter was not covered with safety outlet covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In #408, two (2) cans of shaving cream were on the counter less than five (5) feet high, and two (2) cans of shaving cream were on the top shelf in the cabinet with baby-proof slide lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 11/27/23. .0605(q) 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. First Aid training certificate for the staff member, CG was not maintained in the staff file. .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. CPR training certificate for the staff member, CG was not maintained in the staff file. .1102(d) Technical assistance was provided as follows: 812: Electrical outlets All electrical outlets under five (5) feet shall be covered by the safety outlet cover unless there is a built-in safety already installed in the outlet. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Potentially hazardous products Aerosol products are considered potentially hazardous to the children, and they shall be stored in a locked storage. Baby proofing is not considered sufficient. The locked storage shall be locked with a key, a magnetic lock or a combination lock. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 859: Playground inspection The playground inspection shall be completed monthly. Please complete the form for December 2023 and January 2024 immediately. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment. The training certificate shall be maintained in the staff files. If the training certificate has not been issued, you should file attendance roster or other verification of participation in the training. You can contact your trainer to request the certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Consultation: Orientation: The topics listed on the orientation form must be reviewed with each new staff member. These topics are not about general knowledge but rather pertain to specific matters related to your center. For instance, every center must have bloodborne pathogen kit(s). During orientation, each staff member should learn the location where the bloodborne pathogen kit is stored and understand how to dispose of contaminated items. Health and Safety Training: The health and safety training shall be renewed every five (5) years. The staff member hired on 1/9/24 shall complete the training prior to 1/9/25. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .0604 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 37 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kim Vanderlip, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kim Vanderlip, Program Coordinator, accompanied me. Indoor and outdoor areas were monitored , including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This facility’s compliance rate has not been established yet. Permit type – GS110-106 issued on 12/13/23. Special Services/Restrictions – daytime care, children in care on ground level only. The last Letter of Intent visit was conducted on 12/7/23. The last fire drill was practiced on 1/19/24. The last lockdown drill was practiced on 1/24/24. The last playground inspection was documented on 11/27/23. The last fire inspection was completed. However, the date is missing from the form. I contacted the Fire Marshall during the visit and left a message. Please contact the Fire Marshall and get the date. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1 (Rm 303), a group of four-year-old children used the common bathroom, put on their jackets, and went outside. In the classroom, hazardous materials and medications were monitored. In space #5 (Rm 408), a group of three-year-old children engaged in art activity. The children tore cotton and glued them on the paper to make clouds. In space #9 (Rm 416), a group of two-year-old children engaged in free play using connecting piles, crayons paper, and other materials. In space #11 (Rm 418) a group of one-to-two-year-old children engaged in free play using housekeeping materials, train tracks, blocks, and accessories. Lunch was served in this classroom. Today’s menu was chicken nuggets, sweet potato chips, sliced pears, bread and milk. The items served matched the food listed on the menu. In space #14 (Rm 421) a group of infants were present. One (1) child slept in the crib. Four (4) children explored the environment, mouthed toys interacted with the caregivers. Various medications including emergency medications and diaper creams were present in all classrooms. In room 404, a permission form for a diaper cream was not present. In room 408, an action plan for an emergency medication was not in file. In room 416, permission forms were not present for two (2) medications. The permission forms and action plans were later found and placed in the right folder. Four (4) cans of shaving cream were present in room 408. Shaving cream cans are aerosol, therefore, the items must be stored in locked storage. Sixteen (16) existing staff members’ files were monitored for criminal background letters, ITS/SIDS training certificates, and CPR/First Aid certificates. Four (4) new staff member’s files were monitored in full. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1 (Room 404), two (2) outlets on the wall above the counter was not covered with safety outlet covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In #408, two (2) cans of shaving cream were on the counter less than five (5) feet high, and two (2) cans of shaving cream were on the top shelf in the cabinet with baby-proof slide lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 11/27/23. .0605(q) 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. First Aid training certificate for the staff member, CG was not maintained in the staff file. .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. CPR training certificate for the staff member, CG was not maintained in the staff file. .1102(d) Technical assistance was provided as follows: 812: Electrical outlets All electrical outlets under five (5) feet shall be covered by the safety outlet cover unless there is a built-in safety already installed in the outlet. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Potentially hazardous products Aerosol products are considered potentially hazardous to the children, and they shall be stored in a locked storage. Baby proofing is not considered sufficient. The locked storage shall be locked with a key, a magnetic lock or a combination lock. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 859: Playground inspection The playground inspection shall be completed monthly. Please complete the form for December 2023 and January 2024 immediately. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment. The training certificate shall be maintained in the staff files. If the training certificate has not been issued, you should file attendance roster or other verification of participation in the training. You can contact your trainer to request the certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Consultation: Orientation: The topics listed on the orientation form must be reviewed with each new staff member. These topics are not about general knowledge but rather pertain to specific matters related to your center. For instance, every center must have bloodborne pathogen kit(s). During orientation, each staff member should learn the location where the bloodborne pathogen kit is stored and understand how to dispose of contaminated items. Health and Safety Training: The health and safety training shall be renewed every five (5) years. The staff member hired on 1/9/24 shall complete the training prior to 1/9/25. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .0605 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 37 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kim Vanderlip, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kim Vanderlip, Program Coordinator, accompanied me. Indoor and outdoor areas were monitored , including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This facility’s compliance rate has not been established yet. Permit type – GS110-106 issued on 12/13/23. Special Services/Restrictions – daytime care, children in care on ground level only. The last Letter of Intent visit was conducted on 12/7/23. The last fire drill was practiced on 1/19/24. The last lockdown drill was practiced on 1/24/24. The last playground inspection was documented on 11/27/23. The last fire inspection was completed. However, the date is missing from the form. I contacted the Fire Marshall during the visit and left a message. Please contact the Fire Marshall and get the date. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1 (Rm 303), a group of four-year-old children used the common bathroom, put on their jackets, and went outside. In the classroom, hazardous materials and medications were monitored. In space #5 (Rm 408), a group of three-year-old children engaged in art activity. The children tore cotton and glued them on the paper to make clouds. In space #9 (Rm 416), a group of two-year-old children engaged in free play using connecting piles, crayons paper, and other materials. In space #11 (Rm 418) a group of one-to-two-year-old children engaged in free play using housekeeping materials, train tracks, blocks, and accessories. Lunch was served in this classroom. Today’s menu was chicken nuggets, sweet potato chips, sliced pears, bread and milk. The items served matched the food listed on the menu. In space #14 (Rm 421) a group of infants were present. One (1) child slept in the crib. Four (4) children explored the environment, mouthed toys interacted with the caregivers. Various medications including emergency medications and diaper creams were present in all classrooms. In room 404, a permission form for a diaper cream was not present. In room 408, an action plan for an emergency medication was not in file. In room 416, permission forms were not present for two (2) medications. The permission forms and action plans were later found and placed in the right folder. Four (4) cans of shaving cream were present in room 408. Shaving cream cans are aerosol, therefore, the items must be stored in locked storage. Sixteen (16) existing staff members’ files were monitored for criminal background letters, ITS/SIDS training certificates, and CPR/First Aid certificates. Four (4) new staff member’s files were monitored in full. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1 (Room 404), two (2) outlets on the wall above the counter was not covered with safety outlet covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In #408, two (2) cans of shaving cream were on the counter less than five (5) feet high, and two (2) cans of shaving cream were on the top shelf in the cabinet with baby-proof slide lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 11/27/23. .0605(q) 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. First Aid training certificate for the staff member, CG was not maintained in the staff file. .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. CPR training certificate for the staff member, CG was not maintained in the staff file. .1102(d) Technical assistance was provided as follows: 812: Electrical outlets All electrical outlets under five (5) feet shall be covered by the safety outlet cover unless there is a built-in safety already installed in the outlet. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Potentially hazardous products Aerosol products are considered potentially hazardous to the children, and they shall be stored in a locked storage. Baby proofing is not considered sufficient. The locked storage shall be locked with a key, a magnetic lock or a combination lock. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 859: Playground inspection The playground inspection shall be completed monthly. Please complete the form for December 2023 and January 2024 immediately. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment. The training certificate shall be maintained in the staff files. If the training certificate has not been issued, you should file attendance roster or other verification of participation in the training. You can contact your trainer to request the certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Consultation: Orientation: The topics listed on the orientation form must be reviewed with each new staff member. These topics are not about general knowledge but rather pertain to specific matters related to your center. For instance, every center must have bloodborne pathogen kit(s). During orientation, each staff member should learn the location where the bloodborne pathogen kit is stored and understand how to dispose of contaminated items. Health and Safety Training: The health and safety training shall be renewed every five (5) years. The staff member hired on 1/9/24 shall complete the training prior to 1/9/25. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1102 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 37 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kim Vanderlip, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kim Vanderlip, Program Coordinator, accompanied me. Indoor and outdoor areas were monitored , including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This facility’s compliance rate has not been established yet. Permit type – GS110-106 issued on 12/13/23. Special Services/Restrictions – daytime care, children in care on ground level only. The last Letter of Intent visit was conducted on 12/7/23. The last fire drill was practiced on 1/19/24. The last lockdown drill was practiced on 1/24/24. The last playground inspection was documented on 11/27/23. The last fire inspection was completed. However, the date is missing from the form. I contacted the Fire Marshall during the visit and left a message. Please contact the Fire Marshall and get the date. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1 (Rm 303), a group of four-year-old children used the common bathroom, put on their jackets, and went outside. In the classroom, hazardous materials and medications were monitored. In space #5 (Rm 408), a group of three-year-old children engaged in art activity. The children tore cotton and glued them on the paper to make clouds. In space #9 (Rm 416), a group of two-year-old children engaged in free play using connecting piles, crayons paper, and other materials. In space #11 (Rm 418) a group of one-to-two-year-old children engaged in free play using housekeeping materials, train tracks, blocks, and accessories. Lunch was served in this classroom. Today’s menu was chicken nuggets, sweet potato chips, sliced pears, bread and milk. The items served matched the food listed on the menu. In space #14 (Rm 421) a group of infants were present. One (1) child slept in the crib. Four (4) children explored the environment, mouthed toys interacted with the caregivers. Various medications including emergency medications and diaper creams were present in all classrooms. In room 404, a permission form for a diaper cream was not present. In room 408, an action plan for an emergency medication was not in file. In room 416, permission forms were not present for two (2) medications. The permission forms and action plans were later found and placed in the right folder. Four (4) cans of shaving cream were present in room 408. Shaving cream cans are aerosol, therefore, the items must be stored in locked storage. Sixteen (16) existing staff members’ files were monitored for criminal background letters, ITS/SIDS training certificates, and CPR/First Aid certificates. Four (4) new staff member’s files were monitored in full. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1 (Room 404), two (2) outlets on the wall above the counter was not covered with safety outlet covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In #408, two (2) cans of shaving cream were on the counter less than five (5) feet high, and two (2) cans of shaving cream were on the top shelf in the cabinet with baby-proof slide lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 11/27/23. .0605(q) 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. First Aid training certificate for the staff member, CG was not maintained in the staff file. .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. CPR training certificate for the staff member, CG was not maintained in the staff file. .1102(d) Technical assistance was provided as follows: 812: Electrical outlets All electrical outlets under five (5) feet shall be covered by the safety outlet cover unless there is a built-in safety already installed in the outlet. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Potentially hazardous products Aerosol products are considered potentially hazardous to the children, and they shall be stored in a locked storage. Baby proofing is not considered sufficient. The locked storage shall be locked with a key, a magnetic lock or a combination lock. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 859: Playground inspection The playground inspection shall be completed monthly. Please complete the form for December 2023 and January 2024 immediately. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment. The training certificate shall be maintained in the staff files. If the training certificate has not been issued, you should file attendance roster or other verification of participation in the training. You can contact your trainer to request the certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Consultation: Orientation: The topics listed on the orientation form must be reviewed with each new staff member. These topics are not about general knowledge but rather pertain to specific matters related to your center. For instance, every center must have bloodborne pathogen kit(s). During orientation, each staff member should learn the location where the bloodborne pathogen kit is stored and understand how to dispose of contaminated items. Health and Safety Training: The health and safety training shall be renewed every five (5) years. The staff member hired on 1/9/24 shall complete the training prior to 1/9/25. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

10A NCAC 09 .1703 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 37 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kim Vanderlip, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kim Vanderlip, Program Coordinator, accompanied me. Indoor and outdoor areas were monitored , including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This facility’s compliance rate has not been established yet. Permit type – GS110-106 issued on 12/13/23. Special Services/Restrictions – daytime care, children in care on ground level only. The last Letter of Intent visit was conducted on 12/7/23. The last fire drill was practiced on 1/19/24. The last lockdown drill was practiced on 1/24/24. The last playground inspection was documented on 11/27/23. The last fire inspection was completed. However, the date is missing from the form. I contacted the Fire Marshall during the visit and left a message. Please contact the Fire Marshall and get the date. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1 (Rm 303), a group of four-year-old children used the common bathroom, put on their jackets, and went outside. In the classroom, hazardous materials and medications were monitored. In space #5 (Rm 408), a group of three-year-old children engaged in art activity. The children tore cotton and glued them on the paper to make clouds. In space #9 (Rm 416), a group of two-year-old children engaged in free play using connecting piles, crayons paper, and other materials. In space #11 (Rm 418) a group of one-to-two-year-old children engaged in free play using housekeeping materials, train tracks, blocks, and accessories. Lunch was served in this classroom. Today’s menu was chicken nuggets, sweet potato chips, sliced pears, bread and milk. The items served matched the food listed on the menu. In space #14 (Rm 421) a group of infants were present. One (1) child slept in the crib. Four (4) children explored the environment, mouthed toys interacted with the caregivers. Various medications including emergency medications and diaper creams were present in all classrooms. In room 404, a permission form for a diaper cream was not present. In room 408, an action plan for an emergency medication was not in file. In room 416, permission forms were not present for two (2) medications. The permission forms and action plans were later found and placed in the right folder. Four (4) cans of shaving cream were present in room 408. Shaving cream cans are aerosol, therefore, the items must be stored in locked storage. Sixteen (16) existing staff members’ files were monitored for criminal background letters, ITS/SIDS training certificates, and CPR/First Aid certificates. Four (4) new staff member’s files were monitored in full. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1 (Room 404), two (2) outlets on the wall above the counter was not covered with safety outlet covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In #408, two (2) cans of shaving cream were on the counter less than five (5) feet high, and two (2) cans of shaving cream were on the top shelf in the cabinet with baby-proof slide lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 11/27/23. .0605(q) 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. First Aid training certificate for the staff member, CG was not maintained in the staff file. .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. CPR training certificate for the staff member, CG was not maintained in the staff file. .1102(d) Technical assistance was provided as follows: 812: Electrical outlets All electrical outlets under five (5) feet shall be covered by the safety outlet cover unless there is a built-in safety already installed in the outlet. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Potentially hazardous products Aerosol products are considered potentially hazardous to the children, and they shall be stored in a locked storage. Baby proofing is not considered sufficient. The locked storage shall be locked with a key, a magnetic lock or a combination lock. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 859: Playground inspection The playground inspection shall be completed monthly. Please complete the form for December 2023 and January 2024 immediately. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment. The training certificate shall be maintained in the staff files. If the training certificate has not been issued, you should file attendance roster or other verification of participation in the training. You can contact your trainer to request the certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Consultation: Orientation: The topics listed on the orientation form must be reviewed with each new staff member. These topics are not about general knowledge but rather pertain to specific matters related to your center. For instance, every center must have bloodborne pathogen kit(s). During orientation, each staff member should learn the location where the bloodborne pathogen kit is stored and understand how to dispose of contaminated items. Health and Safety Training: The health and safety training shall be renewed every five (5) years. The staff member hired on 1/9/24 shall complete the training prior to 1/9/25. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

GS110-106 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 37 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kim Vanderlip, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kim Vanderlip, Program Coordinator, accompanied me. Indoor and outdoor areas were monitored , including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This facility’s compliance rate has not been established yet. Permit type – GS110-106 issued on 12/13/23. Special Services/Restrictions – daytime care, children in care on ground level only. The last Letter of Intent visit was conducted on 12/7/23. The last fire drill was practiced on 1/19/24. The last lockdown drill was practiced on 1/24/24. The last playground inspection was documented on 11/27/23. The last fire inspection was completed. However, the date is missing from the form. I contacted the Fire Marshall during the visit and left a message. Please contact the Fire Marshall and get the date. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1 (Rm 303), a group of four-year-old children used the common bathroom, put on their jackets, and went outside. In the classroom, hazardous materials and medications were monitored. In space #5 (Rm 408), a group of three-year-old children engaged in art activity. The children tore cotton and glued them on the paper to make clouds. In space #9 (Rm 416), a group of two-year-old children engaged in free play using connecting piles, crayons paper, and other materials. In space #11 (Rm 418) a group of one-to-two-year-old children engaged in free play using housekeeping materials, train tracks, blocks, and accessories. Lunch was served in this classroom. Today’s menu was chicken nuggets, sweet potato chips, sliced pears, bread and milk. The items served matched the food listed on the menu. In space #14 (Rm 421) a group of infants were present. One (1) child slept in the crib. Four (4) children explored the environment, mouthed toys interacted with the caregivers. Various medications including emergency medications and diaper creams were present in all classrooms. In room 404, a permission form for a diaper cream was not present. In room 408, an action plan for an emergency medication was not in file. In room 416, permission forms were not present for two (2) medications. The permission forms and action plans were later found and placed in the right folder. Four (4) cans of shaving cream were present in room 408. Shaving cream cans are aerosol, therefore, the items must be stored in locked storage. Sixteen (16) existing staff members’ files were monitored for criminal background letters, ITS/SIDS training certificates, and CPR/First Aid certificates. Four (4) new staff member’s files were monitored in full. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1 (Room 404), two (2) outlets on the wall above the counter was not covered with safety outlet covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In #408, two (2) cans of shaving cream were on the counter less than five (5) feet high, and two (2) cans of shaving cream were on the top shelf in the cabinet with baby-proof slide lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 11/27/23. .0605(q) 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. First Aid training certificate for the staff member, CG was not maintained in the staff file. .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. CPR training certificate for the staff member, CG was not maintained in the staff file. .1102(d) Technical assistance was provided as follows: 812: Electrical outlets All electrical outlets under five (5) feet shall be covered by the safety outlet cover unless there is a built-in safety already installed in the outlet. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Potentially hazardous products Aerosol products are considered potentially hazardous to the children, and they shall be stored in a locked storage. Baby proofing is not considered sufficient. The locked storage shall be locked with a key, a magnetic lock or a combination lock. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 859: Playground inspection The playground inspection shall be completed monthly. Please complete the form for December 2023 and January 2024 immediately. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment. The training certificate shall be maintained in the staff files. If the training certificate has not been issued, you should file attendance roster or other verification of participation in the training. You can contact your trainer to request the certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Consultation: Orientation: The topics listed on the orientation form must be reviewed with each new staff member. These topics are not about general knowledge but rather pertain to specific matters related to your center. For instance, every center must have bloodborne pathogen kit(s). During orientation, each staff member should learn the location where the bloodborne pathogen kit is stored and understand how to dispose of contaminated items. Health and Safety Training: The health and safety training shall be renewed every five (5) years. The staff member hired on 1/9/24 shall complete the training prior to 1/9/25. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: ACADEMY AT BILTMORE CHURCH Facility ID: 11000943 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 37 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kim Vanderlip, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kim Vanderlip, Program Coordinator, accompanied me. Indoor and outdoor areas were monitored , including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This facility’s compliance rate has not been established yet. Permit type – GS110-106 issued on 12/13/23. Special Services/Restrictions – daytime care, children in care on ground level only. The last Letter of Intent visit was conducted on 12/7/23. The last fire drill was practiced on 1/19/24. The last lockdown drill was practiced on 1/24/24. The last playground inspection was documented on 11/27/23. The last fire inspection was completed. However, the date is missing from the form. I contacted the Fire Marshall during the visit and left a message. Please contact the Fire Marshall and get the date. The last sanitation inspection was conducted on 12/21/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1 (Rm 303), a group of four-year-old children used the common bathroom, put on their jackets, and went outside. In the classroom, hazardous materials and medications were monitored. In space #5 (Rm 408), a group of three-year-old children engaged in art activity. The children tore cotton and glued them on the paper to make clouds. In space #9 (Rm 416), a group of two-year-old children engaged in free play using connecting piles, crayons paper, and other materials. In space #11 (Rm 418) a group of one-to-two-year-old children engaged in free play using housekeeping materials, train tracks, blocks, and accessories. Lunch was served in this classroom. Today’s menu was chicken nuggets, sweet potato chips, sliced pears, bread and milk. The items served matched the food listed on the menu. In space #14 (Rm 421) a group of infants were present. One (1) child slept in the crib. Four (4) children explored the environment, mouthed toys interacted with the caregivers. Various medications including emergency medications and diaper creams were present in all classrooms. In room 404, a permission form for a diaper cream was not present. In room 408, an action plan for an emergency medication was not in file. In room 416, permission forms were not present for two (2) medications. The permission forms and action plans were later found and placed in the right folder. Four (4) cans of shaving cream were present in room 408. Shaving cream cans are aerosol, therefore, the items must be stored in locked storage. Sixteen (16) existing staff members’ files were monitored for criminal background letters, ITS/SIDS training certificates, and CPR/First Aid certificates. Four (4) new staff member’s files were monitored in full. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1 (Room 404), two (2) outlets on the wall above the counter was not covered with safety outlet covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In #408, two (2) cans of shaving cream were on the counter less than five (5) feet high, and two (2) cans of shaving cream were on the top shelf in the cabinet with baby-proof slide lock. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 11/27/23. .0605(q) 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. First Aid training certificate for the staff member, CG was not maintained in the staff file. .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. CPR training certificate for the staff member, CG was not maintained in the staff file. .1102(d) Technical assistance was provided as follows: 812: Electrical outlets All electrical outlets under five (5) feet shall be covered by the safety outlet cover unless there is a built-in safety already installed in the outlet. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Potentially hazardous products Aerosol products are considered potentially hazardous to the children, and they shall be stored in a locked storage. Baby proofing is not considered sufficient. The locked storage shall be locked with a key, a magnetic lock or a combination lock. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 859: Playground inspection The playground inspection shall be completed monthly. Please complete the form for December 2023 and January 2024 immediately. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment. The training certificate shall be maintained in the staff files. If the training certificate has not been issued, you should file attendance roster or other verification of participation in the training. You can contact your trainer to request the certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Consultation: Orientation: The topics listed on the orientation form must be reviewed with each new staff member. These topics are not about general knowledge but rather pertain to specific matters related to your center. For instance, every center must have bloodborne pathogen kit(s). During orientation, each staff member should learn the location where the bloodborne pathogen kit is stored and understand how to dispose of contaminated items. Health and Safety Training: The health and safety training shall be renewed every five (5) years. The staff member hired on 1/9/24 shall complete the training prior to 1/9/25. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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