10A NCAC 09 .1101 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: 0326-256L Visit Date: 3/27/2026 Number Present: 70 Completed Date: 3/27/2026 Age: From 0 To 5 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 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, Karla Terry, Child Care Consultant and also signed by MaKenzie O’Connor, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Makenzie O’Connor, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 3/27/2026. The facility operates with a four (4)-star license issued on 11/16/2023. The Special Services/Restrictions includes first shift, meets enhanced ratios. The complaint was received by the Division of Child Development and Early Education on 3/17/2026 and sent to me on 3/17/2026. Upon my arrival I explained to Ms. O’Connor the reason for my visit. I discussed with her the following allegations, and she was allowed to ask questions. Ms. O’Connor assisted me today with the information needed today. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and sanitation. The license and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Files for new staff were reviewed and contained all required information. Additionally, I observed the indoor and outdoor space used by the children exploring the classroom, eating lunch, at Storytime, and engaged in outdoor gross motor play. I observed the teachers meeting the individual needs of the children and actively supervising. Today’s menu consisted of pizza, salad, tomatoes, and milk. A walkthrough of the entire center was conducted to include the eight (8) classrooms in operation today. Lindsay Jarrett, Manager, accompanied me on the walkthrough of the center. Allegations within the report included the following: * The center did not separate from others those children who became ill or who were suspected of being ill with a communicable disease or condition that would exclude them from care. *Required health and safety standards may not have been followed. Allegation regarding a child showing signs of sickness and left outside sleeping at 45-degree weather. According to Ms. Jarrett, Ms. O’Connor, and three (3) staff interviewed, when a child begins to show signs of illness while outdoors, the staff member providing care immediately requests assistance from another staff member who can provide coverage to maintain the required staff/child ratio. The staff member takes the child’s temperature and contacts the parent immediately. If the fever is over 101 degrees, the staff separate the child from the group until the parents/guardian arrives to pick the child. If children are outdoors, the staff will take the child into the classroom or the lobby offering a cot, blanket, and water until the parent arrives. Once the child leaves the staff cleans and disinfects any materials the child may have touched. If the children are indoors and a child becomes ill, the staff remove the child from the group and takes the child to the sick area located in the lobby offering cot, sheet, blanket, and water until the parent arrives. The staff interviewed recalled two (2) incidents where a child was sent home due to running a fever. Once incident was on 3/13/2026 at 11:00a temperature outdoors was 59 degrees per weather channel. The staff notified the parents of a three-year-old child that was not acting normally. The child was acting very tired and dosing off while sitting on the sidewalk outdoors. The staff attempted to get the child engaged in play, but the child did not want to engage in play. The staff picked the child up, sat the child on their lap, and checked their temperature. The child’s temperature was 99.7 degrees. Staff messaged the parents immediately to notify them of the child’s symptoms. The staff member asked the administrator if they needed to send the child home. The administrator stated to wait a little bit and we will reassess. The child’s temperature was retaken and registered 100.6 degrees. The staff member stated that they took the child indoors while the other children engaged in outdoor play. The staff member stated she sat in the classroom with the child on her lap until the parents arrived to pick the child up. The second incident was on 3/19/2026 at 3:47p temperature outdoors was 63 degrees per weather channel. Where a three-year-old child was sent home due to running a fever. The group was outdoors engaged in outdoor gross motor play. Staff stated the child had previously been sick but was fine. However, the child was sitting in the chair outdoors not engaged in play. The staff member asked the child if they wanted to take their jacket off and engage in play. The child did not want to take their jacket off or engage in play. Staff member requested coverage to check the child’s temperature. The child’s temperature was 101.3. The staff member took the child into the classroom to sit until the parents arrived. I attempted to view video footage. The administrator stated the system is old- and the time stamp and date are not accurate as when the time changes the system does not update. While viewing the time frame from both incidents I was unable to determine if it was the accurate date and time the incidents occurred. Illness policy was reviewed and states “Sprouts staff retain the right to send children home if they are not able to participate in daily activities regardless of whether they have a fever or diagnosable illness. If your child is noticeably lethargic or unable to engage in curriculum and play for over 1 hour, they will be asked to be picked up. This is also a state rule that can be found under 10ANCAC09.0804 (12) laws for child care. Parents will be notified but not required to come for their child unless their temperature is over 101 degrees.” Five (5) new staff members’ files were reviewed and monitored for requirements. One (1) staff member hired 3/11/2026 first two weeks of orientation were not completed within the required time frame. The staff member was due to complete the first six hours of orientation by 3/25/2026. While discussing this with Ms. Jarrett, Ms. Jarrett stated the staff member had approved leave on 3/23/2026 and then out from 3/24/2026 through 3/26/2026. Staff member returned to work on 3/27/2026 and began orientation this morning. We discussed when a staff member starts, to begin orientation and not wait till the end of the two weeks or six weeks timeframe to begin their orientation. Based on the information reviewed and reported today, this concern was unsubstantiated. A child showing signs of illness were left outside to sleep in forty-five (45) degree weather and were not placed in a designated sick area separate from other children. Based on the information reviewed and reported today, the allegations regarding sanitation was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff member hired 3/11/2026 first two weeks of orientation were not completed within the required time frame. The staff member was due to complete the first six hours of orientation by 3/25/2026. .1101(a)(b) Technical assistance was provided as follows: Item 1067- One (1) staff member hired 3/11/2026 first two weeks of orientation were not completed within the required time frame. The staff member was due to complete the first six hours of orientation by 3/25/2026. While discussing this with Ms. Jarrett, Ms. Jarrett stated the staff member had approved leave on 3/23/2026 and then out from 3/24/2026 through 3/26/2026. Staff member returned to work on 3/27/2026 and began orientation this morning. We discussed when a staff member starts, to begin orientation and not wait till the end of the two-week or six-weeks timeframe to begin their orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/10/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: It is important that all staff consistently follow the communicable disease policy when a child shows signs of illness. The policy/procedure is essential for reducing the spread of illness, protecting vulnerable children and staff, and maintaining compliance with health and safety requirements. When these policies/procedures are not followed, the risk of exposure increases for everyone in the environment. Ensuing consistent implementation helps maintain a safe and healthy setting. We discussed reaching out to Buncombe County Partnership for Children, Southwestern, Chrissy Wolfe, Child Care Health Consultant at 828-424-0562, chrissy.wolfe@mahec.net,or Robin Worley, Child Care Health Consultant at 828-772-0504, robin.worley@mahec.net to request additional training. 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 karla.terry@dhhs.nc.gov or 828-200-9952 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.

NC GS 110-90 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: 0326-256L Visit Date: 3/27/2026 Number Present: 70 Completed Date: 3/27/2026 Age: From 0 To 5 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 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, Karla Terry, Child Care Consultant and also signed by MaKenzie O’Connor, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Makenzie O’Connor, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 3/27/2026. The facility operates with a four (4)-star license issued on 11/16/2023. The Special Services/Restrictions includes first shift, meets enhanced ratios. The complaint was received by the Division of Child Development and Early Education on 3/17/2026 and sent to me on 3/17/2026. Upon my arrival I explained to Ms. O’Connor the reason for my visit. I discussed with her the following allegations, and she was allowed to ask questions. Ms. O’Connor assisted me today with the information needed today. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and sanitation. The license and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Files for new staff were reviewed and contained all required information. Additionally, I observed the indoor and outdoor space used by the children exploring the classroom, eating lunch, at Storytime, and engaged in outdoor gross motor play. I observed the teachers meeting the individual needs of the children and actively supervising. Today’s menu consisted of pizza, salad, tomatoes, and milk. A walkthrough of the entire center was conducted to include the eight (8) classrooms in operation today. Lindsay Jarrett, Manager, accompanied me on the walkthrough of the center. Allegations within the report included the following: * The center did not separate from others those children who became ill or who were suspected of being ill with a communicable disease or condition that would exclude them from care. *Required health and safety standards may not have been followed. Allegation regarding a child showing signs of sickness and left outside sleeping at 45-degree weather. According to Ms. Jarrett, Ms. O’Connor, and three (3) staff interviewed, when a child begins to show signs of illness while outdoors, the staff member providing care immediately requests assistance from another staff member who can provide coverage to maintain the required staff/child ratio. The staff member takes the child’s temperature and contacts the parent immediately. If the fever is over 101 degrees, the staff separate the child from the group until the parents/guardian arrives to pick the child. If children are outdoors, the staff will take the child into the classroom or the lobby offering a cot, blanket, and water until the parent arrives. Once the child leaves the staff cleans and disinfects any materials the child may have touched. If the children are indoors and a child becomes ill, the staff remove the child from the group and takes the child to the sick area located in the lobby offering cot, sheet, blanket, and water until the parent arrives. The staff interviewed recalled two (2) incidents where a child was sent home due to running a fever. Once incident was on 3/13/2026 at 11:00a temperature outdoors was 59 degrees per weather channel. The staff notified the parents of a three-year-old child that was not acting normally. The child was acting very tired and dosing off while sitting on the sidewalk outdoors. The staff attempted to get the child engaged in play, but the child did not want to engage in play. The staff picked the child up, sat the child on their lap, and checked their temperature. The child’s temperature was 99.7 degrees. Staff messaged the parents immediately to notify them of the child’s symptoms. The staff member asked the administrator if they needed to send the child home. The administrator stated to wait a little bit and we will reassess. The child’s temperature was retaken and registered 100.6 degrees. The staff member stated that they took the child indoors while the other children engaged in outdoor play. The staff member stated she sat in the classroom with the child on her lap until the parents arrived to pick the child up. The second incident was on 3/19/2026 at 3:47p temperature outdoors was 63 degrees per weather channel. Where a three-year-old child was sent home due to running a fever. The group was outdoors engaged in outdoor gross motor play. Staff stated the child had previously been sick but was fine. However, the child was sitting in the chair outdoors not engaged in play. The staff member asked the child if they wanted to take their jacket off and engage in play. The child did not want to take their jacket off or engage in play. Staff member requested coverage to check the child’s temperature. The child’s temperature was 101.3. The staff member took the child into the classroom to sit until the parents arrived. I attempted to view video footage. The administrator stated the system is old- and the time stamp and date are not accurate as when the time changes the system does not update. While viewing the time frame from both incidents I was unable to determine if it was the accurate date and time the incidents occurred. Illness policy was reviewed and states “Sprouts staff retain the right to send children home if they are not able to participate in daily activities regardless of whether they have a fever or diagnosable illness. If your child is noticeably lethargic or unable to engage in curriculum and play for over 1 hour, they will be asked to be picked up. This is also a state rule that can be found under 10ANCAC09.0804 (12) laws for child care. Parents will be notified but not required to come for their child unless their temperature is over 101 degrees.” Five (5) new staff members’ files were reviewed and monitored for requirements. One (1) staff member hired 3/11/2026 first two weeks of orientation were not completed within the required time frame. The staff member was due to complete the first six hours of orientation by 3/25/2026. While discussing this with Ms. Jarrett, Ms. Jarrett stated the staff member had approved leave on 3/23/2026 and then out from 3/24/2026 through 3/26/2026. Staff member returned to work on 3/27/2026 and began orientation this morning. We discussed when a staff member starts, to begin orientation and not wait till the end of the two weeks or six weeks timeframe to begin their orientation. Based on the information reviewed and reported today, this concern was unsubstantiated. A child showing signs of illness were left outside to sleep in forty-five (45) degree weather and were not placed in a designated sick area separate from other children. Based on the information reviewed and reported today, the allegations regarding sanitation was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff member hired 3/11/2026 first two weeks of orientation were not completed within the required time frame. The staff member was due to complete the first six hours of orientation by 3/25/2026. .1101(a)(b) Technical assistance was provided as follows: Item 1067- One (1) staff member hired 3/11/2026 first two weeks of orientation were not completed within the required time frame. The staff member was due to complete the first six hours of orientation by 3/25/2026. While discussing this with Ms. Jarrett, Ms. Jarrett stated the staff member had approved leave on 3/23/2026 and then out from 3/24/2026 through 3/26/2026. Staff member returned to work on 3/27/2026 and began orientation this morning. We discussed when a staff member starts, to begin orientation and not wait till the end of the two-week or six-weeks timeframe to begin their orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/10/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: It is important that all staff consistently follow the communicable disease policy when a child shows signs of illness. The policy/procedure is essential for reducing the spread of illness, protecting vulnerable children and staff, and maintaining compliance with health and safety requirements. When these policies/procedures are not followed, the risk of exposure increases for everyone in the environment. Ensuing consistent implementation helps maintain a safe and healthy setting. We discussed reaching out to Buncombe County Partnership for Children, Southwestern, Chrissy Wolfe, Child Care Health Consultant at 828-424-0562, chrissy.wolfe@mahec.net,or Robin Worley, Child Care Health Consultant at 828-772-0504, robin.worley@mahec.net to request additional training. 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 karla.terry@dhhs.nc.gov or 828-200-9952 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 72 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mckenzie O’Connor, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Mckenzie O’Connor, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 ninety percent (90%) as of 2/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 1/23/2026. However, the registered agent still lists the previous administrator. We discussed that a new filing would need to be completed with the Secretary of State to change the registered agent. Ms. O'Connor accessed the Secretary of State website during the visit to update the registered agent. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The last annual compliance visit was conducted on 2/26/2025. The last fire drill was practiced on 1/22/2026. The last shelter-in-place drill was practiced on 12/5/2025. The last playground inspection was documented on 1/8/2026. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. The program does not provide transportation. Upon arrival I was greeted by Lindsay Jarrett, Operations Manager. Space #1 the group of infants and one-year olds were engaged in bottle feeding, exploring the room, nap, and activity seats. Staff were meeting the individual needs of the children. While monitoring, I observed three (3) bottles not labeled in the refrigerator. The staff member labeled the bottles during the visit. Space #2 the group of one-to two-year-old children were engaged in free play with blocks, rattles, and large linking beads. Space #3 the group of three to five-year-old children were engaged in free play with blocks, links, dramatic play. Staff were engaged in conversations with the children while actively supervising. Space #4 the group of two-year-old children were engaged in free play with music, light table. After free play the group cleaned up and transitioned to group art activity. While monitoring the environment, I observed plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer during the visit. One (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Space #5 the group of three-year-old children were engaged in outdoor play. Space #6 the group of two- and three-year-old children were engaged in group time. The staff was conducting a group story time. Space #7 the group of one- to two-year-old children were engaged in clean up and transitioning to group music with staff. Space #8 the group of infant children were engaged in exploring the environment, and staff meeting the individual needs of the children. Four (4) children were engaged in activity seat play, one (1) in a swing, and two (2) in a boppy seat. Space #9 multipurpose space. Lunch today consisted of turkey and cheese sandwich, peppers, blueberries, and milk. The posted menu reflected the substitutions made to the original menu prior to serving the children. While monitoring outdoors, we discussed folding and moving the tarp to prevent a possible tripping hazard, and to remove ice with sharp edges to prevent any injuries. Staff were observed throwing sharp ice over the fence making it inaccessible to the children in play. Staff and Children’s files were monitored. Staff member hired 5/6/2019 qualifying letter expired 2/4/2026. Staff stated the process was started on 1/23/2026. Staff have not received an updated qualifying letter prior to my visit. During the visit, the administrator reached out to the Criminal Background Check (CBC) unit to inquire status of the qualifying letter. The CBC unit support staff stated that there was a glitch in the system and was unsure why the qualifying letter had not been issued. The CBC unit support staff stated the letter should have already been issued and issued the letter effective today 2/6/2025. A violation was not cited due to system error, but we discussed starting the background check process earlier to allow ample time to allow for potential delays in the system. Children’s File Concerns The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #2 Classroom and Instructional Quality. Pathway #2 Classroom and Instructional Quality states the facility must meet the following requirements: Enhanced Ratio or Enhanced Space Optional fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 2,3,4,5 star level, family and community engagement standards (three (3) star rated license- 2 additional options, from separate categories, four (4) star rated license- 3 additional options, one from each category of engagement, five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum and formative assessment tools for all ages served, child assessments shared with families annually and coaching/training options for administrators and lead teachers. The facility will need to decide if they are pursuing an ownership change. If pursing an ownership change, you will need to give Monica Houck, Lead Licensing Consultant at least thirty (30) days notice prior to the change. If the facility plans not to pursue the ownership change, they plan to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress. Reminder all star rated licenses must be reassessed by 12/31/2026. 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 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. Space #1, three (3) bottles not labeled in the refrigerator. 15A NCAC 18A .2804(d) 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. Space #4, one (1) electrical outlet was uncovered. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #4, plastic bags and diaper packaging unlocked under the diaper changer. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually .0802(c) Technical assistance was provided as follows: Item 533- Space #1, three (3) bottles not labeled in the refrigerator. The staff member labeled the bottle during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 812- Space #4, one (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Rule Reference: .0604(c) Item 858- Space #4, plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer. Rule Reference: .0604(q) Item 1311- The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Rule Reference: .0802(c) 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 2/20/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@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: -Continue to update the ABCMS portal as staff changes occur. -Conduct the annual review of the EPR. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 72 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mckenzie O’Connor, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Mckenzie O’Connor, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 ninety percent (90%) as of 2/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 1/23/2026. However, the registered agent still lists the previous administrator. We discussed that a new filing would need to be completed with the Secretary of State to change the registered agent. Ms. O'Connor accessed the Secretary of State website during the visit to update the registered agent. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The last annual compliance visit was conducted on 2/26/2025. The last fire drill was practiced on 1/22/2026. The last shelter-in-place drill was practiced on 12/5/2025. The last playground inspection was documented on 1/8/2026. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. The program does not provide transportation. Upon arrival I was greeted by Lindsay Jarrett, Operations Manager. Space #1 the group of infants and one-year olds were engaged in bottle feeding, exploring the room, nap, and activity seats. Staff were meeting the individual needs of the children. While monitoring, I observed three (3) bottles not labeled in the refrigerator. The staff member labeled the bottles during the visit. Space #2 the group of one-to two-year-old children were engaged in free play with blocks, rattles, and large linking beads. Space #3 the group of three to five-year-old children were engaged in free play with blocks, links, dramatic play. Staff were engaged in conversations with the children while actively supervising. Space #4 the group of two-year-old children were engaged in free play with music, light table. After free play the group cleaned up and transitioned to group art activity. While monitoring the environment, I observed plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer during the visit. One (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Space #5 the group of three-year-old children were engaged in outdoor play. Space #6 the group of two- and three-year-old children were engaged in group time. The staff was conducting a group story time. Space #7 the group of one- to two-year-old children were engaged in clean up and transitioning to group music with staff. Space #8 the group of infant children were engaged in exploring the environment, and staff meeting the individual needs of the children. Four (4) children were engaged in activity seat play, one (1) in a swing, and two (2) in a boppy seat. Space #9 multipurpose space. Lunch today consisted of turkey and cheese sandwich, peppers, blueberries, and milk. The posted menu reflected the substitutions made to the original menu prior to serving the children. While monitoring outdoors, we discussed folding and moving the tarp to prevent a possible tripping hazard, and to remove ice with sharp edges to prevent any injuries. Staff were observed throwing sharp ice over the fence making it inaccessible to the children in play. Staff and Children’s files were monitored. Staff member hired 5/6/2019 qualifying letter expired 2/4/2026. Staff stated the process was started on 1/23/2026. Staff have not received an updated qualifying letter prior to my visit. During the visit, the administrator reached out to the Criminal Background Check (CBC) unit to inquire status of the qualifying letter. The CBC unit support staff stated that there was a glitch in the system and was unsure why the qualifying letter had not been issued. The CBC unit support staff stated the letter should have already been issued and issued the letter effective today 2/6/2025. A violation was not cited due to system error, but we discussed starting the background check process earlier to allow ample time to allow for potential delays in the system. Children’s File Concerns The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #2 Classroom and Instructional Quality. Pathway #2 Classroom and Instructional Quality states the facility must meet the following requirements: Enhanced Ratio or Enhanced Space Optional fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 2,3,4,5 star level, family and community engagement standards (three (3) star rated license- 2 additional options, from separate categories, four (4) star rated license- 3 additional options, one from each category of engagement, five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum and formative assessment tools for all ages served, child assessments shared with families annually and coaching/training options for administrators and lead teachers. The facility will need to decide if they are pursuing an ownership change. If pursing an ownership change, you will need to give Monica Houck, Lead Licensing Consultant at least thirty (30) days notice prior to the change. If the facility plans not to pursue the ownership change, they plan to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress. Reminder all star rated licenses must be reassessed by 12/31/2026. 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 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. Space #1, three (3) bottles not labeled in the refrigerator. 15A NCAC 18A .2804(d) 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. Space #4, one (1) electrical outlet was uncovered. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #4, plastic bags and diaper packaging unlocked under the diaper changer. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually .0802(c) Technical assistance was provided as follows: Item 533- Space #1, three (3) bottles not labeled in the refrigerator. The staff member labeled the bottle during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 812- Space #4, one (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Rule Reference: .0604(c) Item 858- Space #4, plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer. Rule Reference: .0604(q) Item 1311- The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Rule Reference: .0802(c) 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 2/20/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@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: -Continue to update the ABCMS portal as staff changes occur. -Conduct the annual review of the EPR. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 72 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mckenzie O’Connor, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Mckenzie O’Connor, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 ninety percent (90%) as of 2/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 1/23/2026. However, the registered agent still lists the previous administrator. We discussed that a new filing would need to be completed with the Secretary of State to change the registered agent. Ms. O'Connor accessed the Secretary of State website during the visit to update the registered agent. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The last annual compliance visit was conducted on 2/26/2025. The last fire drill was practiced on 1/22/2026. The last shelter-in-place drill was practiced on 12/5/2025. The last playground inspection was documented on 1/8/2026. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. The program does not provide transportation. Upon arrival I was greeted by Lindsay Jarrett, Operations Manager. Space #1 the group of infants and one-year olds were engaged in bottle feeding, exploring the room, nap, and activity seats. Staff were meeting the individual needs of the children. While monitoring, I observed three (3) bottles not labeled in the refrigerator. The staff member labeled the bottles during the visit. Space #2 the group of one-to two-year-old children were engaged in free play with blocks, rattles, and large linking beads. Space #3 the group of three to five-year-old children were engaged in free play with blocks, links, dramatic play. Staff were engaged in conversations with the children while actively supervising. Space #4 the group of two-year-old children were engaged in free play with music, light table. After free play the group cleaned up and transitioned to group art activity. While monitoring the environment, I observed plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer during the visit. One (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Space #5 the group of three-year-old children were engaged in outdoor play. Space #6 the group of two- and three-year-old children were engaged in group time. The staff was conducting a group story time. Space #7 the group of one- to two-year-old children were engaged in clean up and transitioning to group music with staff. Space #8 the group of infant children were engaged in exploring the environment, and staff meeting the individual needs of the children. Four (4) children were engaged in activity seat play, one (1) in a swing, and two (2) in a boppy seat. Space #9 multipurpose space. Lunch today consisted of turkey and cheese sandwich, peppers, blueberries, and milk. The posted menu reflected the substitutions made to the original menu prior to serving the children. While monitoring outdoors, we discussed folding and moving the tarp to prevent a possible tripping hazard, and to remove ice with sharp edges to prevent any injuries. Staff were observed throwing sharp ice over the fence making it inaccessible to the children in play. Staff and Children’s files were monitored. Staff member hired 5/6/2019 qualifying letter expired 2/4/2026. Staff stated the process was started on 1/23/2026. Staff have not received an updated qualifying letter prior to my visit. During the visit, the administrator reached out to the Criminal Background Check (CBC) unit to inquire status of the qualifying letter. The CBC unit support staff stated that there was a glitch in the system and was unsure why the qualifying letter had not been issued. The CBC unit support staff stated the letter should have already been issued and issued the letter effective today 2/6/2025. A violation was not cited due to system error, but we discussed starting the background check process earlier to allow ample time to allow for potential delays in the system. Children’s File Concerns The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #2 Classroom and Instructional Quality. Pathway #2 Classroom and Instructional Quality states the facility must meet the following requirements: Enhanced Ratio or Enhanced Space Optional fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 2,3,4,5 star level, family and community engagement standards (three (3) star rated license- 2 additional options, from separate categories, four (4) star rated license- 3 additional options, one from each category of engagement, five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum and formative assessment tools for all ages served, child assessments shared with families annually and coaching/training options for administrators and lead teachers. The facility will need to decide if they are pursuing an ownership change. If pursing an ownership change, you will need to give Monica Houck, Lead Licensing Consultant at least thirty (30) days notice prior to the change. If the facility plans not to pursue the ownership change, they plan to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress. Reminder all star rated licenses must be reassessed by 12/31/2026. 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 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. Space #1, three (3) bottles not labeled in the refrigerator. 15A NCAC 18A .2804(d) 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. Space #4, one (1) electrical outlet was uncovered. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #4, plastic bags and diaper packaging unlocked under the diaper changer. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually .0802(c) Technical assistance was provided as follows: Item 533- Space #1, three (3) bottles not labeled in the refrigerator. The staff member labeled the bottle during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 812- Space #4, one (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Rule Reference: .0604(c) Item 858- Space #4, plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer. Rule Reference: .0604(q) Item 1311- The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Rule Reference: .0802(c) 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 2/20/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@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: -Continue to update the ABCMS portal as staff changes occur. -Conduct the annual review of the EPR. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 72 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mckenzie O’Connor, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Mckenzie O’Connor, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 ninety percent (90%) as of 2/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 1/23/2026. However, the registered agent still lists the previous administrator. We discussed that a new filing would need to be completed with the Secretary of State to change the registered agent. Ms. O'Connor accessed the Secretary of State website during the visit to update the registered agent. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The last annual compliance visit was conducted on 2/26/2025. The last fire drill was practiced on 1/22/2026. The last shelter-in-place drill was practiced on 12/5/2025. The last playground inspection was documented on 1/8/2026. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. The program does not provide transportation. Upon arrival I was greeted by Lindsay Jarrett, Operations Manager. Space #1 the group of infants and one-year olds were engaged in bottle feeding, exploring the room, nap, and activity seats. Staff were meeting the individual needs of the children. While monitoring, I observed three (3) bottles not labeled in the refrigerator. The staff member labeled the bottles during the visit. Space #2 the group of one-to two-year-old children were engaged in free play with blocks, rattles, and large linking beads. Space #3 the group of three to five-year-old children were engaged in free play with blocks, links, dramatic play. Staff were engaged in conversations with the children while actively supervising. Space #4 the group of two-year-old children were engaged in free play with music, light table. After free play the group cleaned up and transitioned to group art activity. While monitoring the environment, I observed plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer during the visit. One (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Space #5 the group of three-year-old children were engaged in outdoor play. Space #6 the group of two- and three-year-old children were engaged in group time. The staff was conducting a group story time. Space #7 the group of one- to two-year-old children were engaged in clean up and transitioning to group music with staff. Space #8 the group of infant children were engaged in exploring the environment, and staff meeting the individual needs of the children. Four (4) children were engaged in activity seat play, one (1) in a swing, and two (2) in a boppy seat. Space #9 multipurpose space. Lunch today consisted of turkey and cheese sandwich, peppers, blueberries, and milk. The posted menu reflected the substitutions made to the original menu prior to serving the children. While monitoring outdoors, we discussed folding and moving the tarp to prevent a possible tripping hazard, and to remove ice with sharp edges to prevent any injuries. Staff were observed throwing sharp ice over the fence making it inaccessible to the children in play. Staff and Children’s files were monitored. Staff member hired 5/6/2019 qualifying letter expired 2/4/2026. Staff stated the process was started on 1/23/2026. Staff have not received an updated qualifying letter prior to my visit. During the visit, the administrator reached out to the Criminal Background Check (CBC) unit to inquire status of the qualifying letter. The CBC unit support staff stated that there was a glitch in the system and was unsure why the qualifying letter had not been issued. The CBC unit support staff stated the letter should have already been issued and issued the letter effective today 2/6/2025. A violation was not cited due to system error, but we discussed starting the background check process earlier to allow ample time to allow for potential delays in the system. Children’s File Concerns The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #2 Classroom and Instructional Quality. Pathway #2 Classroom and Instructional Quality states the facility must meet the following requirements: Enhanced Ratio or Enhanced Space Optional fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 2,3,4,5 star level, family and community engagement standards (three (3) star rated license- 2 additional options, from separate categories, four (4) star rated license- 3 additional options, one from each category of engagement, five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum and formative assessment tools for all ages served, child assessments shared with families annually and coaching/training options for administrators and lead teachers. The facility will need to decide if they are pursuing an ownership change. If pursing an ownership change, you will need to give Monica Houck, Lead Licensing Consultant at least thirty (30) days notice prior to the change. If the facility plans not to pursue the ownership change, they plan to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress. Reminder all star rated licenses must be reassessed by 12/31/2026. 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 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. Space #1, three (3) bottles not labeled in the refrigerator. 15A NCAC 18A .2804(d) 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. Space #4, one (1) electrical outlet was uncovered. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #4, plastic bags and diaper packaging unlocked under the diaper changer. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually .0802(c) Technical assistance was provided as follows: Item 533- Space #1, three (3) bottles not labeled in the refrigerator. The staff member labeled the bottle during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 812- Space #4, one (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Rule Reference: .0604(c) Item 858- Space #4, plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer. Rule Reference: .0604(q) Item 1311- The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Rule Reference: .0802(c) 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 2/20/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@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: -Continue to update the ABCMS portal as staff changes occur. -Conduct the annual review of the EPR. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 .2830 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 72 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mckenzie O’Connor, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Mckenzie O’Connor, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 ninety percent (90%) as of 2/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 1/23/2026. However, the registered agent still lists the previous administrator. We discussed that a new filing would need to be completed with the Secretary of State to change the registered agent. Ms. O'Connor accessed the Secretary of State website during the visit to update the registered agent. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The last annual compliance visit was conducted on 2/26/2025. The last fire drill was practiced on 1/22/2026. The last shelter-in-place drill was practiced on 12/5/2025. The last playground inspection was documented on 1/8/2026. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. The program does not provide transportation. Upon arrival I was greeted by Lindsay Jarrett, Operations Manager. Space #1 the group of infants and one-year olds were engaged in bottle feeding, exploring the room, nap, and activity seats. Staff were meeting the individual needs of the children. While monitoring, I observed three (3) bottles not labeled in the refrigerator. The staff member labeled the bottles during the visit. Space #2 the group of one-to two-year-old children were engaged in free play with blocks, rattles, and large linking beads. Space #3 the group of three to five-year-old children were engaged in free play with blocks, links, dramatic play. Staff were engaged in conversations with the children while actively supervising. Space #4 the group of two-year-old children were engaged in free play with music, light table. After free play the group cleaned up and transitioned to group art activity. While monitoring the environment, I observed plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer during the visit. One (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Space #5 the group of three-year-old children were engaged in outdoor play. Space #6 the group of two- and three-year-old children were engaged in group time. The staff was conducting a group story time. Space #7 the group of one- to two-year-old children were engaged in clean up and transitioning to group music with staff. Space #8 the group of infant children were engaged in exploring the environment, and staff meeting the individual needs of the children. Four (4) children were engaged in activity seat play, one (1) in a swing, and two (2) in a boppy seat. Space #9 multipurpose space. Lunch today consisted of turkey and cheese sandwich, peppers, blueberries, and milk. The posted menu reflected the substitutions made to the original menu prior to serving the children. While monitoring outdoors, we discussed folding and moving the tarp to prevent a possible tripping hazard, and to remove ice with sharp edges to prevent any injuries. Staff were observed throwing sharp ice over the fence making it inaccessible to the children in play. Staff and Children’s files were monitored. Staff member hired 5/6/2019 qualifying letter expired 2/4/2026. Staff stated the process was started on 1/23/2026. Staff have not received an updated qualifying letter prior to my visit. During the visit, the administrator reached out to the Criminal Background Check (CBC) unit to inquire status of the qualifying letter. The CBC unit support staff stated that there was a glitch in the system and was unsure why the qualifying letter had not been issued. The CBC unit support staff stated the letter should have already been issued and issued the letter effective today 2/6/2025. A violation was not cited due to system error, but we discussed starting the background check process earlier to allow ample time to allow for potential delays in the system. Children’s File Concerns The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #2 Classroom and Instructional Quality. Pathway #2 Classroom and Instructional Quality states the facility must meet the following requirements: Enhanced Ratio or Enhanced Space Optional fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 2,3,4,5 star level, family and community engagement standards (three (3) star rated license- 2 additional options, from separate categories, four (4) star rated license- 3 additional options, one from each category of engagement, five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum and formative assessment tools for all ages served, child assessments shared with families annually and coaching/training options for administrators and lead teachers. The facility will need to decide if they are pursuing an ownership change. If pursing an ownership change, you will need to give Monica Houck, Lead Licensing Consultant at least thirty (30) days notice prior to the change. If the facility plans not to pursue the ownership change, they plan to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress. Reminder all star rated licenses must be reassessed by 12/31/2026. 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 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. Space #1, three (3) bottles not labeled in the refrigerator. 15A NCAC 18A .2804(d) 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. Space #4, one (1) electrical outlet was uncovered. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #4, plastic bags and diaper packaging unlocked under the diaper changer. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually .0802(c) Technical assistance was provided as follows: Item 533- Space #1, three (3) bottles not labeled in the refrigerator. The staff member labeled the bottle during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 812- Space #4, one (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Rule Reference: .0604(c) Item 858- Space #4, plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer. Rule Reference: .0604(q) Item 1311- The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Rule Reference: .0802(c) 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 2/20/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@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: -Continue to update the ABCMS portal as staff changes occur. -Conduct the annual review of the EPR. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 72 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 09:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Mckenzie O’Connor, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Mckenzie O’Connor, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 ninety percent (90%) as of 2/5/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 1/23/2026. However, the registered agent still lists the previous administrator. We discussed that a new filing would need to be completed with the Secretary of State to change the registered agent. Ms. O'Connor accessed the Secretary of State website during the visit to update the registered agent. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The last annual compliance visit was conducted on 2/26/2025. The last fire drill was practiced on 1/22/2026. The last shelter-in-place drill was practiced on 12/5/2025. The last playground inspection was documented on 1/8/2026. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. The program does not provide transportation. Upon arrival I was greeted by Lindsay Jarrett, Operations Manager. Space #1 the group of infants and one-year olds were engaged in bottle feeding, exploring the room, nap, and activity seats. Staff were meeting the individual needs of the children. While monitoring, I observed three (3) bottles not labeled in the refrigerator. The staff member labeled the bottles during the visit. Space #2 the group of one-to two-year-old children were engaged in free play with blocks, rattles, and large linking beads. Space #3 the group of three to five-year-old children were engaged in free play with blocks, links, dramatic play. Staff were engaged in conversations with the children while actively supervising. Space #4 the group of two-year-old children were engaged in free play with music, light table. After free play the group cleaned up and transitioned to group art activity. While monitoring the environment, I observed plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer during the visit. One (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Space #5 the group of three-year-old children were engaged in outdoor play. Space #6 the group of two- and three-year-old children were engaged in group time. The staff was conducting a group story time. Space #7 the group of one- to two-year-old children were engaged in clean up and transitioning to group music with staff. Space #8 the group of infant children were engaged in exploring the environment, and staff meeting the individual needs of the children. Four (4) children were engaged in activity seat play, one (1) in a swing, and two (2) in a boppy seat. Space #9 multipurpose space. Lunch today consisted of turkey and cheese sandwich, peppers, blueberries, and milk. The posted menu reflected the substitutions made to the original menu prior to serving the children. While monitoring outdoors, we discussed folding and moving the tarp to prevent a possible tripping hazard, and to remove ice with sharp edges to prevent any injuries. Staff were observed throwing sharp ice over the fence making it inaccessible to the children in play. Staff and Children’s files were monitored. Staff member hired 5/6/2019 qualifying letter expired 2/4/2026. Staff stated the process was started on 1/23/2026. Staff have not received an updated qualifying letter prior to my visit. During the visit, the administrator reached out to the Criminal Background Check (CBC) unit to inquire status of the qualifying letter. The CBC unit support staff stated that there was a glitch in the system and was unsure why the qualifying letter had not been issued. The CBC unit support staff stated the letter should have already been issued and issued the letter effective today 2/6/2025. A violation was not cited due to system error, but we discussed starting the background check process earlier to allow ample time to allow for potential delays in the system. Children’s File Concerns The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Quality Rating and Improvement System (QRIS): The facility plans to pursue Pathway #2 Classroom and Instructional Quality. Pathway #2 Classroom and Instructional Quality states the facility must meet the following requirements: Enhanced Ratio or Enhanced Space Optional fifty percent (50%) of all lead teachers and fifty percent (50%) of other educators meet requirements at the 2,3,4,5 star level, family and community engagement standards (three (3) star rated license- 2 additional options, from separate categories, four (4) star rated license- 3 additional options, one from each category of engagement, five (5) star rated license- 4 additional options, with at least one from each category of engagement), Continuous Quality Improvement Plans facility and individuals, Approved curriculum and formative assessment tools for all ages served, child assessments shared with families annually and coaching/training options for administrators and lead teachers. The facility will need to decide if they are pursuing an ownership change. If pursing an ownership change, you will need to give Monica Houck, Lead Licensing Consultant at least thirty (30) days notice prior to the change. If the facility plans not to pursue the ownership change, they plan to have the items needed for rated license reassessment completed by the next monitoring visit in six (6) months. The facility will maintain open and consistent communication with me regarding their progress. Reminder all star rated licenses must be reassessed by 12/31/2026. 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 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. Space #1, three (3) bottles not labeled in the refrigerator. 15A NCAC 18A .2804(d) 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. Space #4, one (1) electrical outlet was uncovered. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #4, plastic bags and diaper packaging unlocked under the diaper changer. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually .0802(c) Technical assistance was provided as follows: Item 533- Space #1, three (3) bottles not labeled in the refrigerator. The staff member labeled the bottle during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 812- Space #4, one (1) electrical outlet was uncovered. The staff member covered the outlet during the visit with a safety outlet cover. Rule Reference: .0604(c) Item 858- Space #4, plastic bags and diaper packaging unlocked under the diaper changer. The staff locked the diaper changer. Rule Reference: .0604(q) Item 1311- The child enrolled on 1/13/2025, and the emergency information dated 1/13/2025 was not reviewed and documented annually. We discussed that parents must review their child’s application and emergency information at least once per year or whenever changes occur. Parents should document this review by signing and dating the bottom of the existing form or by completing a new form. Rule Reference: .0802(c) 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 2/20/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@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: -Continue to update the ABCMS portal as staff changes occur. -Conduct the annual review of the EPR. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 .2830 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 73 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens accompanied me during the visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff records, supervision, and interactions. The programs last annual compliance visit was conducted on 2/26/2025. The following items were monitored: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – first shift, meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 6/24/2025. The last annual compliance visit was conducted on 2/26/2025. The last documented fire drill was practiced on 4/30/2025.When asked about the fire drill the administrator stated that the drill was conducted on 5/30/2025. Infinity Fire set the fire alarm off and sent the invoice on the following Monday. The administrator updated the log during the visit. The last shelter-in-place drill was practiced on 3/5/2025. The next emergency drill is due by 6/30/2025. When asked, the administrator stated the next drill is scheduled for tomorrow 6/26/2025. The last playground inspection was documented on 6/3/2025. The last fire inspection was approved on 3/11/2025. The last sanitation inspection was conducted on 3/20/2025 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. While monitoring the indoor and outdoor space, I observed the groups engaged in free choice center play, routine caregiving, outdoor play, lunch, and nap time. Space #1 the group of infant and one year old children were engaged in play on the floor and lunch in the high chairs. Three (3) children were in the high chairs eating lunch with one (1) staff member standing with them, and six (6) children were exploring the environment. The other staff members was moving about the room actively supervising the children. Space #2 the group of one year old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. During the visit, the staff moved the blanket in order to be able to see the child’s face and better observe the child’s wellbeing. While monitoring the indoor space, I observed one (1) boogie spray on-site without a form signed by the parents, and one (1) electrical outlet uncovered on the power strip on top of the refrigerator. Space #3 the group of two-year-old children were engaged in outdoor gross motor play and routine diaper changes. Five (5) children were indoors with one (1) staff member conducting routine diaper change and restroom. Seven (7) children were outdoors with one (1) staff member stationed near the door actively supervising the children. While monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group prepared for nap. During nap time, the staff used natural lighting and soft calming music. The staff was stationed between two (2) children to assist them with resting. I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. While monitoring outdoors, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. Space #5 the group of three- to four-year-old children were engaged in lunch, as the children finished lunch they washed hands and got a book. Then the children prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. While monitoring indoors, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Space #6 the group of three-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to prepare for lunch. When lunch concluded the group prepared for nap. During nap time, the staff used natural lighting and soft calming music to assist the children with resting. The staff was stationed in the room to supervise the children and moved frequently to assess the children’s wellbeing. Space #7 the group of one- to two-year-old children were engaged in lunch at the tables. After nap, five (5) children and one (1) staff went outside, and four (4) children and one (1) staff remained indoors to start nap time. While monitoring indoors, I observed one (1) Desitin on the counter with no permission to administer medication form. During nap time, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #8 the group of infants were engaged in nap, exploring the room, and routine diaper change. One (1) child was in their crib asleep, three (3) were exploring the form, and one (1) routine diaper change was being conducted. While the children were in the floor one (1) staff member was sitting engaged in play with the children and one (1) staff member was conducting routine diaper change. Space #9 multipurpose space. Lunch consisted of turkey and cheese sandwich, watermelon, fries, and milk. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding, CPR/First Aid, EPR, Playground Safety, Special Training including, ITS-SIDS, Health and Safety, and Criminal Background Checks. During the visit, we also reviewed the rated license The facilities prep assessment was completed on 5/7/2024, 5/9/2024, and 5/16/2024. The facility received an average score of 4.69. The results of the prep assessment were reviewed with the facility during the environmental rating scale (ERS) visit on 6/21/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 2/26/2025. The facility has four (4) new staff and I reviewed their files during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 11/16/2023. Earning four (4) points in the education component, five (5) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety percent (90%) as of 6/24/2025. You submitted the Rated License Assessment Request Review for prep year on 2/26/2024, and the application for re-assessment was submitted on 6/18/2025. Your new license is based on the following: Education – Once all components are reviewed, points will be determined using WORKS database. Program Standards – The program meets requirements, enhanced ratios, and had an average score of at lease 4.5 and no classroom lower than 4.0 on the environmental rating scale. The facility completed the request for the prep assessment Environment Rating Scales on 2/26/2024. The ITERS-R was administered on May 9, 2024, and May 16, 2024. The ECERS-R was administered on May 7, 2024. The assessment report was reviewed during a environmental rating scales (ERS) visit on June 21, 2024. The scores are as follows: ITERS- 4.21, 5.03, and ECERS- 4.83. The overall score is 4.69 earning the facility four (4) points in the Program Standards component. Quality Point – You have chosen to meet Educational Option the child care administrator has at least ten (10) years of documented child care administrative work experience in a licensed program that can be verified by the Division, therefore your program earned one (1) Quality Point. Total points for the Star Rated License will be determined and reviewed with the administrator when all components have been received, reviewed, and processed. If it is determined that a new license will be issued, at that time the administrator will be given guidance on how to proceed and what steps to take when the new license is received. 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 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill for May was not documented .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, During nap time, I observed the lighting was too dark. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. Space #4, I observed one (1) child asleep with their blanket over their face. Space#2, I observed one (1) child that had a blanket over their face. 10A NCAC 09 .0601(a) 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. Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. 10A NCAC 09 .0803(1)(a & b) 9995 A violation was found for which there is no item number. Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. Technical assistance was provided as follows: Item 614 Space #3, cots were placed less than eighteen (18) inches apart in the middle of the room. We discussed that a solid barrier or moving the cots would be needed in order to meet the minimum requirement of eighteen (18) inches between cots. Rule reference: 15A NCAC 18A.2821(e) Item 705 Space #3 while monitoring the outdoor space, I observed three (3) metal pans showing rust. The administrator removed the pans during the visit. Space #4, I observed the purple laundry hamper broken, blue storage container broken with sharp edges, and red broken food basket. We discussed that the staff need to conduct a daily playground check to ensure all materials are safe and free of hazards. Rule Reference: 10A NCAC 09 .0601(c) Item 805 Monthly fire drill for May was not documented. The administrator documented the drill on the log during the visit. Rule Reference: 10A NCAC 09.0604(t) Item 807 Space #3, During nap time, I observed the lighting was too dark. We discussed that during nap time, the lamps on the wall will need to be used in order to provide adequate lighting to be able to monitor the children’s wellbeing and see their skin color while sleeping. Space #7, I observed the music was too loud to be able to hear any changes in the child’s breathing while they were sleeping. We discussed the music would need to be lowered in order to hear any changes in the child’s breathing. The staff lowered the music level during the visit. Space #4, I observed one (1) child asleep with their blanket over their face. The administrator pulled the blanket down during the visit. Space#2, I observed one (1) child that had a blanket over their face. Where the staff was stationed, the staff could only see the child’s hair. We discussed ensuring the staff are stationed to be able to see the children’s face and skin color to ensure their wellbeing. Rule Reference: 10A NCAC 09.0601(a) Item 812 Space #2 while monitoring the indoor space, I observed one (1) electrical outlet uncovered on the power strip on top of the refrigerator. We discussed the staff need to conduct a classroom check to ensure all outlets are covered. Rule Reference: 10A NCAC 09 .0604(c) Item 842 Space #7, I observed one (1) Desitin on the counter with no permission to administer medication form. Space #2 I observed one (1) boogie spray on-site without a form signed by the parents. We discussed developing a plan for checking in medications and to have the staff ensure that all forms are completed prior to the medication entering the classroom. Rule Reference: 10A NCAC 09 .0803(1)(a)&(b) Item 9995 Space #5, I observed one (1) sunscreen in the outdoor bag sitting on the shelf below five (5) feet. We discussed when the group comes in from outdoors, the sunscreen needs to be stored up five (5) feet. The staff member moved the sunscreen to a storage cabinet above the sink during the visit. Rule Reference: 15A NCAC 18A .2820(d) 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 7/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewing with staff supervision throughout the day and discussing what nap time should look like to refresh staff. Along with reviewing the weather watch chart and discussing the heat index/air quality. We discussed mop buckets filled with mop solution must be stored in the kitchen locked until used by a staff member. When a mop bucket is out a staff member must be with the bucket all times to ensure the children’s safety around the bucket. Reminders - First Aid and CPR is coming due for many of your staff. You need to begin looking for a course for them to register and take. - Emergency Information and Health Questionnaires are due to be completed annually. - Emergency Medical Care Plan and Emergency Preparedness and Response plan are due to be reviewed with staff annually. - Professional Development Plan and Staff Evaluations are due for all staff annually. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 .0701 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 76 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Jeannie Aikens, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 eighty-six percent (86%) as of 2/21/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Sprouts Early Learning Academy, LLC, is current/active as of 2/21/2025. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – First shift (Daytime care), Meets enhanced ratios The last annual compliance visit was conducted on 3/7/2024. The last fire drill was practiced on 2/3/25. The last shelter-in-place drill was practiced on 1/6/25. The last playground inspection was documented on 1/2/25. A February inspection is due by February 28, 2025. The last fire inspection was approved on 3/15/24. A new inspection was completed on 1/22/25 and was unsatisfactory. The facility is working with an electrician to get the materials needed in order to correct the items that were marked unsatisfactory. Once the items are corrected, the administrator will contact the Fire Marshal for reinspection. We discussed that an approved fire inspection is due by 3/15/2025 and to reach out to your Fire Marshal for an alternate plan to ensure safety until repairs are made. The last sanitation inspection was conducted on 12/11/2024 with nine (9) demerits for a superior classification. The last lead and asbestos testing was completed on 1/30/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and in a activity bouncer. One (1) child was awake sitting up in the crib. The staff members were meeting the individual needs of the children. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in gross motor play outdoors. While monitoring topical ointments, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. The staff was actively supervising the children while engaging in play and conversation. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors with balls, sand, chalk, and little tikes climber. Space #7 the group of one- to two-year-old children were engaged in outdoor gross motor play with push toys and little tikes climber. Space #8 the group of infants were engaged in play on the floor and in an activity seat. Staff were meeting the individual needs of the children and engaging in play. Space #9 multipurpose space. Lunch/Snack consisted of chicken meatballs, rice, tomatoes, salad, bread, and milk. The program does not provide transportation. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. .0701(a) Technical assistance was provided as follows: Item #849 In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. The administrator discussed with the staff member to review the beginning and end date to ensure they are still valid in addition to the medication expiration date. Rule Reference: 10A NCAC 09 .0803 (12) Item #1034 Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. We discussed that staff members are required to update their health questionnaire annually. I suggested selecting a date to conduct the annual update with all staff members at the same time in order to get them all on the same schedule to make it easier for tracking. Rule Reference 10A NCAC 09 .0701(a) 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 3/12/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewed and discussed children’s application for enrollment are to be updated annually and when changes occur. We reviewed administering medication training on Moodle is located in a different tab to complete, or outside approved trainer can provide the training. We discussed that surfacing needs to be added and the administrator stated that mulch was washed away during Tropical Storm Helene but she has ordered mulch. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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) 814-8401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 .0803 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 76 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Jeannie Aikens, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 eighty-six percent (86%) as of 2/21/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Sprouts Early Learning Academy, LLC, is current/active as of 2/21/2025. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – First shift (Daytime care), Meets enhanced ratios The last annual compliance visit was conducted on 3/7/2024. The last fire drill was practiced on 2/3/25. The last shelter-in-place drill was practiced on 1/6/25. The last playground inspection was documented on 1/2/25. A February inspection is due by February 28, 2025. The last fire inspection was approved on 3/15/24. A new inspection was completed on 1/22/25 and was unsatisfactory. The facility is working with an electrician to get the materials needed in order to correct the items that were marked unsatisfactory. Once the items are corrected, the administrator will contact the Fire Marshal for reinspection. We discussed that an approved fire inspection is due by 3/15/2025 and to reach out to your Fire Marshal for an alternate plan to ensure safety until repairs are made. The last sanitation inspection was conducted on 12/11/2024 with nine (9) demerits for a superior classification. The last lead and asbestos testing was completed on 1/30/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and in a activity bouncer. One (1) child was awake sitting up in the crib. The staff members were meeting the individual needs of the children. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in gross motor play outdoors. While monitoring topical ointments, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. The staff was actively supervising the children while engaging in play and conversation. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors with balls, sand, chalk, and little tikes climber. Space #7 the group of one- to two-year-old children were engaged in outdoor gross motor play with push toys and little tikes climber. Space #8 the group of infants were engaged in play on the floor and in an activity seat. Staff were meeting the individual needs of the children and engaging in play. Space #9 multipurpose space. Lunch/Snack consisted of chicken meatballs, rice, tomatoes, salad, bread, and milk. The program does not provide transportation. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. .0701(a) Technical assistance was provided as follows: Item #849 In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. The administrator discussed with the staff member to review the beginning and end date to ensure they are still valid in addition to the medication expiration date. Rule Reference: 10A NCAC 09 .0803 (12) Item #1034 Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. We discussed that staff members are required to update their health questionnaire annually. I suggested selecting a date to conduct the annual update with all staff members at the same time in order to get them all on the same schedule to make it easier for tracking. Rule Reference 10A NCAC 09 .0701(a) 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 3/12/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewed and discussed children’s application for enrollment are to be updated annually and when changes occur. We reviewed administering medication training on Moodle is located in a different tab to complete, or outside approved trainer can provide the training. We discussed that surfacing needs to be added and the administrator stated that mulch was washed away during Tropical Storm Helene but she has ordered mulch. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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) 814-8401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 76 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Jeannie Aikens, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 eighty-six percent (86%) as of 2/21/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Sprouts Early Learning Academy, LLC, is current/active as of 2/21/2025. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – First shift (Daytime care), Meets enhanced ratios The last annual compliance visit was conducted on 3/7/2024. The last fire drill was practiced on 2/3/25. The last shelter-in-place drill was practiced on 1/6/25. The last playground inspection was documented on 1/2/25. A February inspection is due by February 28, 2025. The last fire inspection was approved on 3/15/24. A new inspection was completed on 1/22/25 and was unsatisfactory. The facility is working with an electrician to get the materials needed in order to correct the items that were marked unsatisfactory. Once the items are corrected, the administrator will contact the Fire Marshal for reinspection. We discussed that an approved fire inspection is due by 3/15/2025 and to reach out to your Fire Marshal for an alternate plan to ensure safety until repairs are made. The last sanitation inspection was conducted on 12/11/2024 with nine (9) demerits for a superior classification. The last lead and asbestos testing was completed on 1/30/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and in a activity bouncer. One (1) child was awake sitting up in the crib. The staff members were meeting the individual needs of the children. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in gross motor play outdoors. While monitoring topical ointments, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. The staff was actively supervising the children while engaging in play and conversation. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors with balls, sand, chalk, and little tikes climber. Space #7 the group of one- to two-year-old children were engaged in outdoor gross motor play with push toys and little tikes climber. Space #8 the group of infants were engaged in play on the floor and in an activity seat. Staff were meeting the individual needs of the children and engaging in play. Space #9 multipurpose space. Lunch/Snack consisted of chicken meatballs, rice, tomatoes, salad, bread, and milk. The program does not provide transportation. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. .0701(a) Technical assistance was provided as follows: Item #849 In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. The administrator discussed with the staff member to review the beginning and end date to ensure they are still valid in addition to the medication expiration date. Rule Reference: 10A NCAC 09 .0803 (12) Item #1034 Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. We discussed that staff members are required to update their health questionnaire annually. I suggested selecting a date to conduct the annual update with all staff members at the same time in order to get them all on the same schedule to make it easier for tracking. Rule Reference 10A NCAC 09 .0701(a) 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 3/12/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewed and discussed children’s application for enrollment are to be updated annually and when changes occur. We reviewed administering medication training on Moodle is located in a different tab to complete, or outside approved trainer can provide the training. We discussed that surfacing needs to be added and the administrator stated that mulch was washed away during Tropical Storm Helene but she has ordered mulch. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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) 814-8401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 76 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Jeannie Aikens, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 eighty-six percent (86%) as of 2/21/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Sprouts Early Learning Academy, LLC, is current/active as of 2/21/2025. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – First shift (Daytime care), Meets enhanced ratios The last annual compliance visit was conducted on 3/7/2024. The last fire drill was practiced on 2/3/25. The last shelter-in-place drill was practiced on 1/6/25. The last playground inspection was documented on 1/2/25. A February inspection is due by February 28, 2025. The last fire inspection was approved on 3/15/24. A new inspection was completed on 1/22/25 and was unsatisfactory. The facility is working with an electrician to get the materials needed in order to correct the items that were marked unsatisfactory. Once the items are corrected, the administrator will contact the Fire Marshal for reinspection. We discussed that an approved fire inspection is due by 3/15/2025 and to reach out to your Fire Marshal for an alternate plan to ensure safety until repairs are made. The last sanitation inspection was conducted on 12/11/2024 with nine (9) demerits for a superior classification. The last lead and asbestos testing was completed on 1/30/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and in a activity bouncer. One (1) child was awake sitting up in the crib. The staff members were meeting the individual needs of the children. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in gross motor play outdoors. While monitoring topical ointments, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. The staff was actively supervising the children while engaging in play and conversation. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors with balls, sand, chalk, and little tikes climber. Space #7 the group of one- to two-year-old children were engaged in outdoor gross motor play with push toys and little tikes climber. Space #8 the group of infants were engaged in play on the floor and in an activity seat. Staff were meeting the individual needs of the children and engaging in play. Space #9 multipurpose space. Lunch/Snack consisted of chicken meatballs, rice, tomatoes, salad, bread, and milk. The program does not provide transportation. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. .0701(a) Technical assistance was provided as follows: Item #849 In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. The administrator discussed with the staff member to review the beginning and end date to ensure they are still valid in addition to the medication expiration date. Rule Reference: 10A NCAC 09 .0803 (12) Item #1034 Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. We discussed that staff members are required to update their health questionnaire annually. I suggested selecting a date to conduct the annual update with all staff members at the same time in order to get them all on the same schedule to make it easier for tracking. Rule Reference 10A NCAC 09 .0701(a) 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 3/12/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewed and discussed children’s application for enrollment are to be updated annually and when changes occur. We reviewed administering medication training on Moodle is located in a different tab to complete, or outside approved trainer can provide the training. We discussed that surfacing needs to be added and the administrator stated that mulch was washed away during Tropical Storm Helene but she has ordered mulch. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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) 814-8401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 76 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Jeannie Aikens, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 eighty-six percent (86%) as of 2/21/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Sprouts Early Learning Academy, LLC, is current/active as of 2/21/2025. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – First shift (Daytime care), Meets enhanced ratios The last annual compliance visit was conducted on 3/7/2024. The last fire drill was practiced on 2/3/25. The last shelter-in-place drill was practiced on 1/6/25. The last playground inspection was documented on 1/2/25. A February inspection is due by February 28, 2025. The last fire inspection was approved on 3/15/24. A new inspection was completed on 1/22/25 and was unsatisfactory. The facility is working with an electrician to get the materials needed in order to correct the items that were marked unsatisfactory. Once the items are corrected, the administrator will contact the Fire Marshal for reinspection. We discussed that an approved fire inspection is due by 3/15/2025 and to reach out to your Fire Marshal for an alternate plan to ensure safety until repairs are made. The last sanitation inspection was conducted on 12/11/2024 with nine (9) demerits for a superior classification. The last lead and asbestos testing was completed on 1/30/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and in a activity bouncer. One (1) child was awake sitting up in the crib. The staff members were meeting the individual needs of the children. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in gross motor play outdoors. While monitoring topical ointments, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. The staff was actively supervising the children while engaging in play and conversation. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors with balls, sand, chalk, and little tikes climber. Space #7 the group of one- to two-year-old children were engaged in outdoor gross motor play with push toys and little tikes climber. Space #8 the group of infants were engaged in play on the floor and in an activity seat. Staff were meeting the individual needs of the children and engaging in play. Space #9 multipurpose space. Lunch/Snack consisted of chicken meatballs, rice, tomatoes, salad, bread, and milk. The program does not provide transportation. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. .0701(a) Technical assistance was provided as follows: Item #849 In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. The administrator discussed with the staff member to review the beginning and end date to ensure they are still valid in addition to the medication expiration date. Rule Reference: 10A NCAC 09 .0803 (12) Item #1034 Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. We discussed that staff members are required to update their health questionnaire annually. I suggested selecting a date to conduct the annual update with all staff members at the same time in order to get them all on the same schedule to make it easier for tracking. Rule Reference 10A NCAC 09 .0701(a) 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 3/12/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewed and discussed children’s application for enrollment are to be updated annually and when changes occur. We reviewed administering medication training on Moodle is located in a different tab to complete, or outside approved trainer can provide the training. We discussed that surfacing needs to be added and the administrator stated that mulch was washed away during Tropical Storm Helene but she has ordered mulch. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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) 814-8401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 .2830 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 76 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Jeannie Aikens, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 eighty-six percent (86%) as of 2/21/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Sprouts Early Learning Academy, LLC, is current/active as of 2/21/2025. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – First shift (Daytime care), Meets enhanced ratios The last annual compliance visit was conducted on 3/7/2024. The last fire drill was practiced on 2/3/25. The last shelter-in-place drill was practiced on 1/6/25. The last playground inspection was documented on 1/2/25. A February inspection is due by February 28, 2025. The last fire inspection was approved on 3/15/24. A new inspection was completed on 1/22/25 and was unsatisfactory. The facility is working with an electrician to get the materials needed in order to correct the items that were marked unsatisfactory. Once the items are corrected, the administrator will contact the Fire Marshal for reinspection. We discussed that an approved fire inspection is due by 3/15/2025 and to reach out to your Fire Marshal for an alternate plan to ensure safety until repairs are made. The last sanitation inspection was conducted on 12/11/2024 with nine (9) demerits for a superior classification. The last lead and asbestos testing was completed on 1/30/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and in a activity bouncer. One (1) child was awake sitting up in the crib. The staff members were meeting the individual needs of the children. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in gross motor play outdoors. While monitoring topical ointments, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. The staff was actively supervising the children while engaging in play and conversation. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors with balls, sand, chalk, and little tikes climber. Space #7 the group of one- to two-year-old children were engaged in outdoor gross motor play with push toys and little tikes climber. Space #8 the group of infants were engaged in play on the floor and in an activity seat. Staff were meeting the individual needs of the children and engaging in play. Space #9 multipurpose space. Lunch/Snack consisted of chicken meatballs, rice, tomatoes, salad, bread, and milk. The program does not provide transportation. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. .0701(a) Technical assistance was provided as follows: Item #849 In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. The administrator discussed with the staff member to review the beginning and end date to ensure they are still valid in addition to the medication expiration date. Rule Reference: 10A NCAC 09 .0803 (12) Item #1034 Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. We discussed that staff members are required to update their health questionnaire annually. I suggested selecting a date to conduct the annual update with all staff members at the same time in order to get them all on the same schedule to make it easier for tracking. Rule Reference 10A NCAC 09 .0701(a) 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 3/12/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewed and discussed children’s application for enrollment are to be updated annually and when changes occur. We reviewed administering medication training on Moodle is located in a different tab to complete, or outside approved trainer can provide the training. We discussed that surfacing needs to be added and the administrator stated that mulch was washed away during Tropical Storm Helene but she has ordered mulch. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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) 814-8401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 76 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Jeannie Aikens, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 eighty-six percent (86%) as of 2/21/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Sprouts Early Learning Academy, LLC, is current/active as of 2/21/2025. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – First shift (Daytime care), Meets enhanced ratios The last annual compliance visit was conducted on 3/7/2024. The last fire drill was practiced on 2/3/25. The last shelter-in-place drill was practiced on 1/6/25. The last playground inspection was documented on 1/2/25. A February inspection is due by February 28, 2025. The last fire inspection was approved on 3/15/24. A new inspection was completed on 1/22/25 and was unsatisfactory. The facility is working with an electrician to get the materials needed in order to correct the items that were marked unsatisfactory. Once the items are corrected, the administrator will contact the Fire Marshal for reinspection. We discussed that an approved fire inspection is due by 3/15/2025 and to reach out to your Fire Marshal for an alternate plan to ensure safety until repairs are made. The last sanitation inspection was conducted on 12/11/2024 with nine (9) demerits for a superior classification. The last lead and asbestos testing was completed on 1/30/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and in a activity bouncer. One (1) child was awake sitting up in the crib. The staff members were meeting the individual needs of the children. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in gross motor play outdoors. While monitoring topical ointments, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. The staff was actively supervising the children while engaging in play and conversation. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors with balls, sand, chalk, and little tikes climber. Space #7 the group of one- to two-year-old children were engaged in outdoor gross motor play with push toys and little tikes climber. Space #8 the group of infants were engaged in play on the floor and in an activity seat. Staff were meeting the individual needs of the children and engaging in play. Space #9 multipurpose space. Lunch/Snack consisted of chicken meatballs, rice, tomatoes, salad, bread, and milk. The program does not provide transportation. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. .0701(a) Technical assistance was provided as follows: Item #849 In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. The administrator discussed with the staff member to review the beginning and end date to ensure they are still valid in addition to the medication expiration date. Rule Reference: 10A NCAC 09 .0803 (12) Item #1034 Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. We discussed that staff members are required to update their health questionnaire annually. I suggested selecting a date to conduct the annual update with all staff members at the same time in order to get them all on the same schedule to make it easier for tracking. Rule Reference 10A NCAC 09 .0701(a) 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 3/12/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewed and discussed children’s application for enrollment are to be updated annually and when changes occur. We reviewed administering medication training on Moodle is located in a different tab to complete, or outside approved trainer can provide the training. We discussed that surfacing needs to be added and the administrator stated that mulch was washed away during Tropical Storm Helene but she has ordered mulch. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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) 814-8401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 76 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Jeannie Aikens, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Jeannie Aikens, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including 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 eighty-six percent (86%) as of 2/21/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Sprouts Early Learning Academy, LLC, is current/active as of 2/21/2025. Permit type – Four (4) Star Rated License, issued 11/16/2023. Special Services/Restrictions – First shift (Daytime care), Meets enhanced ratios The last annual compliance visit was conducted on 3/7/2024. The last fire drill was practiced on 2/3/25. The last shelter-in-place drill was practiced on 1/6/25. The last playground inspection was documented on 1/2/25. A February inspection is due by February 28, 2025. The last fire inspection was approved on 3/15/24. A new inspection was completed on 1/22/25 and was unsatisfactory. The facility is working with an electrician to get the materials needed in order to correct the items that were marked unsatisfactory. Once the items are corrected, the administrator will contact the Fire Marshal for reinspection. We discussed that an approved fire inspection is due by 3/15/2025 and to reach out to your Fire Marshal for an alternate plan to ensure safety until repairs are made. The last sanitation inspection was conducted on 12/11/2024 with nine (9) demerits for a superior classification. The last lead and asbestos testing was completed on 1/30/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Funny Daffer. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and in a activity bouncer. One (1) child was awake sitting up in the crib. The staff members were meeting the individual needs of the children. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in gross motor play outdoors. While monitoring topical ointments, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in outdoor gross motor play. The staff was actively supervising the children while engaging in play and conversation. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors with balls, sand, chalk, and little tikes climber. Space #7 the group of one- to two-year-old children were engaged in outdoor gross motor play with push toys and little tikes climber. Space #8 the group of infants were engaged in play on the floor and in an activity seat. Staff were meeting the individual needs of the children and engaging in play. Space #9 multipurpose space. Lunch/Snack consisted of chicken meatballs, rice, tomatoes, salad, bread, and milk. The program does not provide transportation. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. .0701(a) Technical assistance was provided as follows: Item #849 In space #3, one (1) tube of diaper cream permission to administer medication form expired on 2/9/2025. The administrator removed it from the classroom during the visit. The administrator discussed with the staff member to review the beginning and end date to ensure they are still valid in addition to the medication expiration date. Rule Reference: 10A NCAC 09 .0803 (12) Item #1034 Two (2) staff members did not have an annual health questionnaire on file. The last health questionnaire on file was dated 3/17/2023 for both staff members. We discussed that staff members are required to update their health questionnaire annually. I suggested selecting a date to conduct the annual update with all staff members at the same time in order to get them all on the same schedule to make it easier for tracking. Rule Reference 10A NCAC 09 .0701(a) 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 3/12/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 reviewed and discussed children’s application for enrollment are to be updated annually and when changes occur. We reviewed administering medication training on Moodle is located in a different tab to complete, or outside approved trainer can provide the training. We discussed that surfacing needs to be added and the administrator stated that mulch was washed away during Tropical Storm Helene but she has ordered mulch. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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) 814-8401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 79 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:30 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. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens, Administrator, accompanied me during the visit. The program operates with a Four (4) Star Rated License, issued 11/16/2023. The permit restrictions were in compliance including first shift and meets enhanced ratios. The indoor and outdoor areas were monitored today, including 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 first pre-licensing consultation visit was conducted on 3/6/2023. The last temporary visit was conducted on 8/7/2023. The last fire drill was practiced on 2/2/2024. The last shelter-in-place drill was practiced on 2/19/2024. The last playground inspection was documented on 2/2/2024. The last approved fire inspection was dated 3/3/2023. The current fire inspection was completed on 3/6/2024 but was unsatisfactory. The administrator stated that the fire marshal will be coming back out to conduct a follow up visit. The last sanitation inspection was conducted on 9/28/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 2/2/2024. The approved curriculum for four-year-old children is Funny Daffer. All medications were monitored and meet requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 2/23/2024. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and one (1) child was awake but resting in the crib. The staff member was on the floor engaged in play with the children and actively supervising. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in story time on the carpet with the teacher. After story time, the children prepared for lunch. While monitoring topical ointments, one (1) tube of diaper cream expired 11/2023. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in free choice center play. The staff was actively supervising the children while engaging in a one on one activity. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play with the parachute, and climbers. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors. Space #7 the group of one- to two-year-old children were engaged in free choice center play and story time. Space #8 the group of infants were engaged in play on the floor and one (1) child was asleep in their crib on their back. Staff members were on the floor engaged in play with the children. Space #9 multipurpose space. Lunch/Snack consisted of hamburger, sweet potato fries, cucumbers, and milk. Staff and children’s files were monitored during the visit. I monitored eleven (11) new staff, and two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit. Staff file concerns: JD health and safety training topics were past due. Staff member AB first aid and CPR training was past due for the first ninety (90) days of employment. I monitored nine (9) children’s files and completed the Children’s Record form. Children’s file concerns: Child CD medical report expired 5/2023 and the child was enrolled in September 2023. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. 10A NCAC 09 .0304(a) 829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. .0604(n) 847 Parent's medication authorization did not include required information. In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. 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 space #3, one tube of diaper cream expired 11/2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member AB hired 11/17/23 did not complete First Aid training within the first 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. Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. GS110-91(1) Technical assistance was provided as follows: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. - An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. Item #829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. - Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. I suggest conducting a playground check to ensure that the gas meter gate is locked prior to children going out to play. Item #847 Parent's medication authorization did not include required information. "10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an ""as needed"" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing." -In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. I suggest reviewing the permission to administer medication forms prior to allowing the medication on site to ensure the form is completed in its entirety. Item #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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #3, one tube of diaper cream expired 11/2023. I suggest reviewing medications monthly to ensure the expiration dates and permission to administer medication forms are in date. Item #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. 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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete First Aid training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #1321 Medical exam or health assessment was not on file before or within 30 days after admission. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. - Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. I suggest reviewing all medical reports prior to enrollment to ensure the dates are within twelve (12) months of the enrollment date. 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 3/21/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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: Today, we discussed the following: - You are in cohort 1 and have submitted your request for the prep assessment. The environmental rating scale scheduler has contacted you and your four (4) week window is 4/29/2024 to 5/24/2024. Remember you if you score 5.0 or higher, can use the prep assessment as your rated license score. If you score below a 5.0, you can use the prep assessment as a resource to help make improvements and have another assessment conducted during your assessment year that will begin 7/1/2024 and end 6/30/2025. - Staff Education and Facility Affiliation- you need to have each of your staff members log into their DCDEE WORKS account to view their WORKS letter, education that has been processed, apply for the position they hold, and link their account to the facility that the are employed. While completing a draft education evaluation, I noticed many of your staff do not have this completed. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety training reminder: - Staff member TT hired 8/21/23 has till 8/21/24 to complete health and safety training topics. - Staff member MT hired 11/6/23 has till 11/6/24 to complete health and safety training topics. -Staff member CM Hired 11/27/2023 has till 11/27/24 to complete health and safety training topics. -Staff member KM hired 8/7/23 has till 8/7/24 to complete health and safety training topics. - Staff member CS hired 12/14/23 has till 12/14/24 to complete health and safety training topics. - Staff member AP hired 10/4/23 has till 10/4/24 to complete health and safety training topics. - Staff member MW hired 11/13/23 has till 11/13/24 to complete health and safety training topics. First Aid and CPR reminder: - Staff member CS hired 12/14/23 has till 6/2024 to renew First Aid and CPR training. - Staff member MT hired 11/6/23 has till 4/2024 to renew First Aid and CPR training. - Staff member NW hired 5/17/23 has till 4/2024 to renew First Aid and CPR training. - Staff member TT hired 8/21/23 has till 10/2024 to renew First Aid and CPR training. Rated License We reviewed staff education and work experience during the visit. - Essential oil diffuser cannot be used while the children are in care, due to unknown allergies that the children may have. - Professional development plans and staff evaluations are due to be completed by 3/17/2024. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Jeannie Akins, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 79 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:30 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. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens, Administrator, accompanied me during the visit. The program operates with a Four (4) Star Rated License, issued 11/16/2023. The permit restrictions were in compliance including first shift and meets enhanced ratios. The indoor and outdoor areas were monitored today, including 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 first pre-licensing consultation visit was conducted on 3/6/2023. The last temporary visit was conducted on 8/7/2023. The last fire drill was practiced on 2/2/2024. The last shelter-in-place drill was practiced on 2/19/2024. The last playground inspection was documented on 2/2/2024. The last approved fire inspection was dated 3/3/2023. The current fire inspection was completed on 3/6/2024 but was unsatisfactory. The administrator stated that the fire marshal will be coming back out to conduct a follow up visit. The last sanitation inspection was conducted on 9/28/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 2/2/2024. The approved curriculum for four-year-old children is Funny Daffer. All medications were monitored and meet requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 2/23/2024. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and one (1) child was awake but resting in the crib. The staff member was on the floor engaged in play with the children and actively supervising. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in story time on the carpet with the teacher. After story time, the children prepared for lunch. While monitoring topical ointments, one (1) tube of diaper cream expired 11/2023. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in free choice center play. The staff was actively supervising the children while engaging in a one on one activity. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play with the parachute, and climbers. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors. Space #7 the group of one- to two-year-old children were engaged in free choice center play and story time. Space #8 the group of infants were engaged in play on the floor and one (1) child was asleep in their crib on their back. Staff members were on the floor engaged in play with the children. Space #9 multipurpose space. Lunch/Snack consisted of hamburger, sweet potato fries, cucumbers, and milk. Staff and children’s files were monitored during the visit. I monitored eleven (11) new staff, and two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit. Staff file concerns: JD health and safety training topics were past due. Staff member AB first aid and CPR training was past due for the first ninety (90) days of employment. I monitored nine (9) children’s files and completed the Children’s Record form. Children’s file concerns: Child CD medical report expired 5/2023 and the child was enrolled in September 2023. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. 10A NCAC 09 .0304(a) 829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. .0604(n) 847 Parent's medication authorization did not include required information. In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. 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 space #3, one tube of diaper cream expired 11/2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member AB hired 11/17/23 did not complete First Aid training within the first 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. Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. GS110-91(1) Technical assistance was provided as follows: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. - An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. Item #829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. - Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. I suggest conducting a playground check to ensure that the gas meter gate is locked prior to children going out to play. Item #847 Parent's medication authorization did not include required information. "10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an ""as needed"" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing." -In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. I suggest reviewing the permission to administer medication forms prior to allowing the medication on site to ensure the form is completed in its entirety. Item #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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #3, one tube of diaper cream expired 11/2023. I suggest reviewing medications monthly to ensure the expiration dates and permission to administer medication forms are in date. Item #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. 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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete First Aid training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #1321 Medical exam or health assessment was not on file before or within 30 days after admission. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. - Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. I suggest reviewing all medical reports prior to enrollment to ensure the dates are within twelve (12) months of the enrollment date. 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 3/21/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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: Today, we discussed the following: - You are in cohort 1 and have submitted your request for the prep assessment. The environmental rating scale scheduler has contacted you and your four (4) week window is 4/29/2024 to 5/24/2024. Remember you if you score 5.0 or higher, can use the prep assessment as your rated license score. If you score below a 5.0, you can use the prep assessment as a resource to help make improvements and have another assessment conducted during your assessment year that will begin 7/1/2024 and end 6/30/2025. - Staff Education and Facility Affiliation- you need to have each of your staff members log into their DCDEE WORKS account to view their WORKS letter, education that has been processed, apply for the position they hold, and link their account to the facility that the are employed. While completing a draft education evaluation, I noticed many of your staff do not have this completed. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety training reminder: - Staff member TT hired 8/21/23 has till 8/21/24 to complete health and safety training topics. - Staff member MT hired 11/6/23 has till 11/6/24 to complete health and safety training topics. -Staff member CM Hired 11/27/2023 has till 11/27/24 to complete health and safety training topics. -Staff member KM hired 8/7/23 has till 8/7/24 to complete health and safety training topics. - Staff member CS hired 12/14/23 has till 12/14/24 to complete health and safety training topics. - Staff member AP hired 10/4/23 has till 10/4/24 to complete health and safety training topics. - Staff member MW hired 11/13/23 has till 11/13/24 to complete health and safety training topics. First Aid and CPR reminder: - Staff member CS hired 12/14/23 has till 6/2024 to renew First Aid and CPR training. - Staff member MT hired 11/6/23 has till 4/2024 to renew First Aid and CPR training. - Staff member NW hired 5/17/23 has till 4/2024 to renew First Aid and CPR training. - Staff member TT hired 8/21/23 has till 10/2024 to renew First Aid and CPR training. Rated License We reviewed staff education and work experience during the visit. - Essential oil diffuser cannot be used while the children are in care, due to unknown allergies that the children may have. - Professional development plans and staff evaluations are due to be completed by 3/17/2024. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Jeannie Akins, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 79 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:30 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. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens, Administrator, accompanied me during the visit. The program operates with a Four (4) Star Rated License, issued 11/16/2023. The permit restrictions were in compliance including first shift and meets enhanced ratios. The indoor and outdoor areas were monitored today, including 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 first pre-licensing consultation visit was conducted on 3/6/2023. The last temporary visit was conducted on 8/7/2023. The last fire drill was practiced on 2/2/2024. The last shelter-in-place drill was practiced on 2/19/2024. The last playground inspection was documented on 2/2/2024. The last approved fire inspection was dated 3/3/2023. The current fire inspection was completed on 3/6/2024 but was unsatisfactory. The administrator stated that the fire marshal will be coming back out to conduct a follow up visit. The last sanitation inspection was conducted on 9/28/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 2/2/2024. The approved curriculum for four-year-old children is Funny Daffer. All medications were monitored and meet requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 2/23/2024. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and one (1) child was awake but resting in the crib. The staff member was on the floor engaged in play with the children and actively supervising. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in story time on the carpet with the teacher. After story time, the children prepared for lunch. While monitoring topical ointments, one (1) tube of diaper cream expired 11/2023. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in free choice center play. The staff was actively supervising the children while engaging in a one on one activity. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play with the parachute, and climbers. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors. Space #7 the group of one- to two-year-old children were engaged in free choice center play and story time. Space #8 the group of infants were engaged in play on the floor and one (1) child was asleep in their crib on their back. Staff members were on the floor engaged in play with the children. Space #9 multipurpose space. Lunch/Snack consisted of hamburger, sweet potato fries, cucumbers, and milk. Staff and children’s files were monitored during the visit. I monitored eleven (11) new staff, and two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit. Staff file concerns: JD health and safety training topics were past due. Staff member AB first aid and CPR training was past due for the first ninety (90) days of employment. I monitored nine (9) children’s files and completed the Children’s Record form. Children’s file concerns: Child CD medical report expired 5/2023 and the child was enrolled in September 2023. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. 10A NCAC 09 .0304(a) 829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. .0604(n) 847 Parent's medication authorization did not include required information. In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. 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 space #3, one tube of diaper cream expired 11/2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member AB hired 11/17/23 did not complete First Aid training within the first 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. Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. GS110-91(1) Technical assistance was provided as follows: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. - An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. Item #829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. - Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. I suggest conducting a playground check to ensure that the gas meter gate is locked prior to children going out to play. Item #847 Parent's medication authorization did not include required information. "10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an ""as needed"" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing." -In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. I suggest reviewing the permission to administer medication forms prior to allowing the medication on site to ensure the form is completed in its entirety. Item #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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #3, one tube of diaper cream expired 11/2023. I suggest reviewing medications monthly to ensure the expiration dates and permission to administer medication forms are in date. Item #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. 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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete First Aid training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #1321 Medical exam or health assessment was not on file before or within 30 days after admission. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. - Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. I suggest reviewing all medical reports prior to enrollment to ensure the dates are within twelve (12) months of the enrollment date. 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 3/21/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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: Today, we discussed the following: - You are in cohort 1 and have submitted your request for the prep assessment. The environmental rating scale scheduler has contacted you and your four (4) week window is 4/29/2024 to 5/24/2024. Remember you if you score 5.0 or higher, can use the prep assessment as your rated license score. If you score below a 5.0, you can use the prep assessment as a resource to help make improvements and have another assessment conducted during your assessment year that will begin 7/1/2024 and end 6/30/2025. - Staff Education and Facility Affiliation- you need to have each of your staff members log into their DCDEE WORKS account to view their WORKS letter, education that has been processed, apply for the position they hold, and link their account to the facility that the are employed. While completing a draft education evaluation, I noticed many of your staff do not have this completed. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety training reminder: - Staff member TT hired 8/21/23 has till 8/21/24 to complete health and safety training topics. - Staff member MT hired 11/6/23 has till 11/6/24 to complete health and safety training topics. -Staff member CM Hired 11/27/2023 has till 11/27/24 to complete health and safety training topics. -Staff member KM hired 8/7/23 has till 8/7/24 to complete health and safety training topics. - Staff member CS hired 12/14/23 has till 12/14/24 to complete health and safety training topics. - Staff member AP hired 10/4/23 has till 10/4/24 to complete health and safety training topics. - Staff member MW hired 11/13/23 has till 11/13/24 to complete health and safety training topics. First Aid and CPR reminder: - Staff member CS hired 12/14/23 has till 6/2024 to renew First Aid and CPR training. - Staff member MT hired 11/6/23 has till 4/2024 to renew First Aid and CPR training. - Staff member NW hired 5/17/23 has till 4/2024 to renew First Aid and CPR training. - Staff member TT hired 8/21/23 has till 10/2024 to renew First Aid and CPR training. Rated License We reviewed staff education and work experience during the visit. - Essential oil diffuser cannot be used while the children are in care, due to unknown allergies that the children may have. - Professional development plans and staff evaluations are due to be completed by 3/17/2024. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Jeannie Akins, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 79 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:30 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. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens, Administrator, accompanied me during the visit. The program operates with a Four (4) Star Rated License, issued 11/16/2023. The permit restrictions were in compliance including first shift and meets enhanced ratios. The indoor and outdoor areas were monitored today, including 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 first pre-licensing consultation visit was conducted on 3/6/2023. The last temporary visit was conducted on 8/7/2023. The last fire drill was practiced on 2/2/2024. The last shelter-in-place drill was practiced on 2/19/2024. The last playground inspection was documented on 2/2/2024. The last approved fire inspection was dated 3/3/2023. The current fire inspection was completed on 3/6/2024 but was unsatisfactory. The administrator stated that the fire marshal will be coming back out to conduct a follow up visit. The last sanitation inspection was conducted on 9/28/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 2/2/2024. The approved curriculum for four-year-old children is Funny Daffer. All medications were monitored and meet requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 2/23/2024. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and one (1) child was awake but resting in the crib. The staff member was on the floor engaged in play with the children and actively supervising. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in story time on the carpet with the teacher. After story time, the children prepared for lunch. While monitoring topical ointments, one (1) tube of diaper cream expired 11/2023. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in free choice center play. The staff was actively supervising the children while engaging in a one on one activity. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play with the parachute, and climbers. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors. Space #7 the group of one- to two-year-old children were engaged in free choice center play and story time. Space #8 the group of infants were engaged in play on the floor and one (1) child was asleep in their crib on their back. Staff members were on the floor engaged in play with the children. Space #9 multipurpose space. Lunch/Snack consisted of hamburger, sweet potato fries, cucumbers, and milk. Staff and children’s files were monitored during the visit. I monitored eleven (11) new staff, and two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit. Staff file concerns: JD health and safety training topics were past due. Staff member AB first aid and CPR training was past due for the first ninety (90) days of employment. I monitored nine (9) children’s files and completed the Children’s Record form. Children’s file concerns: Child CD medical report expired 5/2023 and the child was enrolled in September 2023. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. 10A NCAC 09 .0304(a) 829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. .0604(n) 847 Parent's medication authorization did not include required information. In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. 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 space #3, one tube of diaper cream expired 11/2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member AB hired 11/17/23 did not complete First Aid training within the first 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. Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. GS110-91(1) Technical assistance was provided as follows: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. - An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. Item #829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. - Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. I suggest conducting a playground check to ensure that the gas meter gate is locked prior to children going out to play. Item #847 Parent's medication authorization did not include required information. "10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an ""as needed"" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing." -In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. I suggest reviewing the permission to administer medication forms prior to allowing the medication on site to ensure the form is completed in its entirety. Item #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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #3, one tube of diaper cream expired 11/2023. I suggest reviewing medications monthly to ensure the expiration dates and permission to administer medication forms are in date. Item #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. 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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete First Aid training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #1321 Medical exam or health assessment was not on file before or within 30 days after admission. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. - Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. I suggest reviewing all medical reports prior to enrollment to ensure the dates are within twelve (12) months of the enrollment date. 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 3/21/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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: Today, we discussed the following: - You are in cohort 1 and have submitted your request for the prep assessment. The environmental rating scale scheduler has contacted you and your four (4) week window is 4/29/2024 to 5/24/2024. Remember you if you score 5.0 or higher, can use the prep assessment as your rated license score. If you score below a 5.0, you can use the prep assessment as a resource to help make improvements and have another assessment conducted during your assessment year that will begin 7/1/2024 and end 6/30/2025. - Staff Education and Facility Affiliation- you need to have each of your staff members log into their DCDEE WORKS account to view their WORKS letter, education that has been processed, apply for the position they hold, and link their account to the facility that the are employed. While completing a draft education evaluation, I noticed many of your staff do not have this completed. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety training reminder: - Staff member TT hired 8/21/23 has till 8/21/24 to complete health and safety training topics. - Staff member MT hired 11/6/23 has till 11/6/24 to complete health and safety training topics. -Staff member CM Hired 11/27/2023 has till 11/27/24 to complete health and safety training topics. -Staff member KM hired 8/7/23 has till 8/7/24 to complete health and safety training topics. - Staff member CS hired 12/14/23 has till 12/14/24 to complete health and safety training topics. - Staff member AP hired 10/4/23 has till 10/4/24 to complete health and safety training topics. - Staff member MW hired 11/13/23 has till 11/13/24 to complete health and safety training topics. First Aid and CPR reminder: - Staff member CS hired 12/14/23 has till 6/2024 to renew First Aid and CPR training. - Staff member MT hired 11/6/23 has till 4/2024 to renew First Aid and CPR training. - Staff member NW hired 5/17/23 has till 4/2024 to renew First Aid and CPR training. - Staff member TT hired 8/21/23 has till 10/2024 to renew First Aid and CPR training. Rated License We reviewed staff education and work experience during the visit. - Essential oil diffuser cannot be used while the children are in care, due to unknown allergies that the children may have. - Professional development plans and staff evaluations are due to be completed by 3/17/2024. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Jeannie Akins, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 79 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:30 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. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens, Administrator, accompanied me during the visit. The program operates with a Four (4) Star Rated License, issued 11/16/2023. The permit restrictions were in compliance including first shift and meets enhanced ratios. The indoor and outdoor areas were monitored today, including 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 first pre-licensing consultation visit was conducted on 3/6/2023. The last temporary visit was conducted on 8/7/2023. The last fire drill was practiced on 2/2/2024. The last shelter-in-place drill was practiced on 2/19/2024. The last playground inspection was documented on 2/2/2024. The last approved fire inspection was dated 3/3/2023. The current fire inspection was completed on 3/6/2024 but was unsatisfactory. The administrator stated that the fire marshal will be coming back out to conduct a follow up visit. The last sanitation inspection was conducted on 9/28/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 2/2/2024. The approved curriculum for four-year-old children is Funny Daffer. All medications were monitored and meet requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 2/23/2024. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and one (1) child was awake but resting in the crib. The staff member was on the floor engaged in play with the children and actively supervising. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in story time on the carpet with the teacher. After story time, the children prepared for lunch. While monitoring topical ointments, one (1) tube of diaper cream expired 11/2023. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in free choice center play. The staff was actively supervising the children while engaging in a one on one activity. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play with the parachute, and climbers. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors. Space #7 the group of one- to two-year-old children were engaged in free choice center play and story time. Space #8 the group of infants were engaged in play on the floor and one (1) child was asleep in their crib on their back. Staff members were on the floor engaged in play with the children. Space #9 multipurpose space. Lunch/Snack consisted of hamburger, sweet potato fries, cucumbers, and milk. Staff and children’s files were monitored during the visit. I monitored eleven (11) new staff, and two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit. Staff file concerns: JD health and safety training topics were past due. Staff member AB first aid and CPR training was past due for the first ninety (90) days of employment. I monitored nine (9) children’s files and completed the Children’s Record form. Children’s file concerns: Child CD medical report expired 5/2023 and the child was enrolled in September 2023. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. 10A NCAC 09 .0304(a) 829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. .0604(n) 847 Parent's medication authorization did not include required information. In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. 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 space #3, one tube of diaper cream expired 11/2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member AB hired 11/17/23 did not complete First Aid training within the first 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. Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. GS110-91(1) Technical assistance was provided as follows: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. - An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. Item #829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. - Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. I suggest conducting a playground check to ensure that the gas meter gate is locked prior to children going out to play. Item #847 Parent's medication authorization did not include required information. "10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an ""as needed"" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing." -In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. I suggest reviewing the permission to administer medication forms prior to allowing the medication on site to ensure the form is completed in its entirety. Item #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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #3, one tube of diaper cream expired 11/2023. I suggest reviewing medications monthly to ensure the expiration dates and permission to administer medication forms are in date. Item #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. 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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete First Aid training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #1321 Medical exam or health assessment was not on file before or within 30 days after admission. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. - Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. I suggest reviewing all medical reports prior to enrollment to ensure the dates are within twelve (12) months of the enrollment date. 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 3/21/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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: Today, we discussed the following: - You are in cohort 1 and have submitted your request for the prep assessment. The environmental rating scale scheduler has contacted you and your four (4) week window is 4/29/2024 to 5/24/2024. Remember you if you score 5.0 or higher, can use the prep assessment as your rated license score. If you score below a 5.0, you can use the prep assessment as a resource to help make improvements and have another assessment conducted during your assessment year that will begin 7/1/2024 and end 6/30/2025. - Staff Education and Facility Affiliation- you need to have each of your staff members log into their DCDEE WORKS account to view their WORKS letter, education that has been processed, apply for the position they hold, and link their account to the facility that the are employed. While completing a draft education evaluation, I noticed many of your staff do not have this completed. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety training reminder: - Staff member TT hired 8/21/23 has till 8/21/24 to complete health and safety training topics. - Staff member MT hired 11/6/23 has till 11/6/24 to complete health and safety training topics. -Staff member CM Hired 11/27/2023 has till 11/27/24 to complete health and safety training topics. -Staff member KM hired 8/7/23 has till 8/7/24 to complete health and safety training topics. - Staff member CS hired 12/14/23 has till 12/14/24 to complete health and safety training topics. - Staff member AP hired 10/4/23 has till 10/4/24 to complete health and safety training topics. - Staff member MW hired 11/13/23 has till 11/13/24 to complete health and safety training topics. First Aid and CPR reminder: - Staff member CS hired 12/14/23 has till 6/2024 to renew First Aid and CPR training. - Staff member MT hired 11/6/23 has till 4/2024 to renew First Aid and CPR training. - Staff member NW hired 5/17/23 has till 4/2024 to renew First Aid and CPR training. - Staff member TT hired 8/21/23 has till 10/2024 to renew First Aid and CPR training. Rated License We reviewed staff education and work experience during the visit. - Essential oil diffuser cannot be used while the children are in care, due to unknown allergies that the children may have. - Professional development plans and staff evaluations are due to be completed by 3/17/2024. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Jeannie Akins, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, 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 .2830 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 79 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:30 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. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens, Administrator, accompanied me during the visit. The program operates with a Four (4) Star Rated License, issued 11/16/2023. The permit restrictions were in compliance including first shift and meets enhanced ratios. The indoor and outdoor areas were monitored today, including 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 first pre-licensing consultation visit was conducted on 3/6/2023. The last temporary visit was conducted on 8/7/2023. The last fire drill was practiced on 2/2/2024. The last shelter-in-place drill was practiced on 2/19/2024. The last playground inspection was documented on 2/2/2024. The last approved fire inspection was dated 3/3/2023. The current fire inspection was completed on 3/6/2024 but was unsatisfactory. The administrator stated that the fire marshal will be coming back out to conduct a follow up visit. The last sanitation inspection was conducted on 9/28/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 2/2/2024. The approved curriculum for four-year-old children is Funny Daffer. All medications were monitored and meet requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 2/23/2024. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and one (1) child was awake but resting in the crib. The staff member was on the floor engaged in play with the children and actively supervising. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in story time on the carpet with the teacher. After story time, the children prepared for lunch. While monitoring topical ointments, one (1) tube of diaper cream expired 11/2023. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in free choice center play. The staff was actively supervising the children while engaging in a one on one activity. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play with the parachute, and climbers. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors. Space #7 the group of one- to two-year-old children were engaged in free choice center play and story time. Space #8 the group of infants were engaged in play on the floor and one (1) child was asleep in their crib on their back. Staff members were on the floor engaged in play with the children. Space #9 multipurpose space. Lunch/Snack consisted of hamburger, sweet potato fries, cucumbers, and milk. Staff and children’s files were monitored during the visit. I monitored eleven (11) new staff, and two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit. Staff file concerns: JD health and safety training topics were past due. Staff member AB first aid and CPR training was past due for the first ninety (90) days of employment. I monitored nine (9) children’s files and completed the Children’s Record form. Children’s file concerns: Child CD medical report expired 5/2023 and the child was enrolled in September 2023. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. 10A NCAC 09 .0304(a) 829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. .0604(n) 847 Parent's medication authorization did not include required information. In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. 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 space #3, one tube of diaper cream expired 11/2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member AB hired 11/17/23 did not complete First Aid training within the first 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. Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. GS110-91(1) Technical assistance was provided as follows: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. - An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. Item #829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. - Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. I suggest conducting a playground check to ensure that the gas meter gate is locked prior to children going out to play. Item #847 Parent's medication authorization did not include required information. "10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an ""as needed"" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing." -In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. I suggest reviewing the permission to administer medication forms prior to allowing the medication on site to ensure the form is completed in its entirety. Item #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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #3, one tube of diaper cream expired 11/2023. I suggest reviewing medications monthly to ensure the expiration dates and permission to administer medication forms are in date. Item #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. 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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete First Aid training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #1321 Medical exam or health assessment was not on file before or within 30 days after admission. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. - Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. I suggest reviewing all medical reports prior to enrollment to ensure the dates are within twelve (12) months of the enrollment date. 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 3/21/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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: Today, we discussed the following: - You are in cohort 1 and have submitted your request for the prep assessment. The environmental rating scale scheduler has contacted you and your four (4) week window is 4/29/2024 to 5/24/2024. Remember you if you score 5.0 or higher, can use the prep assessment as your rated license score. If you score below a 5.0, you can use the prep assessment as a resource to help make improvements and have another assessment conducted during your assessment year that will begin 7/1/2024 and end 6/30/2025. - Staff Education and Facility Affiliation- you need to have each of your staff members log into their DCDEE WORKS account to view their WORKS letter, education that has been processed, apply for the position they hold, and link their account to the facility that the are employed. While completing a draft education evaluation, I noticed many of your staff do not have this completed. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety training reminder: - Staff member TT hired 8/21/23 has till 8/21/24 to complete health and safety training topics. - Staff member MT hired 11/6/23 has till 11/6/24 to complete health and safety training topics. -Staff member CM Hired 11/27/2023 has till 11/27/24 to complete health and safety training topics. -Staff member KM hired 8/7/23 has till 8/7/24 to complete health and safety training topics. - Staff member CS hired 12/14/23 has till 12/14/24 to complete health and safety training topics. - Staff member AP hired 10/4/23 has till 10/4/24 to complete health and safety training topics. - Staff member MW hired 11/13/23 has till 11/13/24 to complete health and safety training topics. First Aid and CPR reminder: - Staff member CS hired 12/14/23 has till 6/2024 to renew First Aid and CPR training. - Staff member MT hired 11/6/23 has till 4/2024 to renew First Aid and CPR training. - Staff member NW hired 5/17/23 has till 4/2024 to renew First Aid and CPR training. - Staff member TT hired 8/21/23 has till 10/2024 to renew First Aid and CPR training. Rated License We reviewed staff education and work experience during the visit. - Essential oil diffuser cannot be used while the children are in care, due to unknown allergies that the children may have. - Professional development plans and staff evaluations are due to be completed by 3/17/2024. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Jeannie Akins, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, 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

GS110-91 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 79 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:30 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. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens, Administrator, accompanied me during the visit. The program operates with a Four (4) Star Rated License, issued 11/16/2023. The permit restrictions were in compliance including first shift and meets enhanced ratios. The indoor and outdoor areas were monitored today, including 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 first pre-licensing consultation visit was conducted on 3/6/2023. The last temporary visit was conducted on 8/7/2023. The last fire drill was practiced on 2/2/2024. The last shelter-in-place drill was practiced on 2/19/2024. The last playground inspection was documented on 2/2/2024. The last approved fire inspection was dated 3/3/2023. The current fire inspection was completed on 3/6/2024 but was unsatisfactory. The administrator stated that the fire marshal will be coming back out to conduct a follow up visit. The last sanitation inspection was conducted on 9/28/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 2/2/2024. The approved curriculum for four-year-old children is Funny Daffer. All medications were monitored and meet requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 2/23/2024. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and one (1) child was awake but resting in the crib. The staff member was on the floor engaged in play with the children and actively supervising. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in story time on the carpet with the teacher. After story time, the children prepared for lunch. While monitoring topical ointments, one (1) tube of diaper cream expired 11/2023. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in free choice center play. The staff was actively supervising the children while engaging in a one on one activity. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play with the parachute, and climbers. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors. Space #7 the group of one- to two-year-old children were engaged in free choice center play and story time. Space #8 the group of infants were engaged in play on the floor and one (1) child was asleep in their crib on their back. Staff members were on the floor engaged in play with the children. Space #9 multipurpose space. Lunch/Snack consisted of hamburger, sweet potato fries, cucumbers, and milk. Staff and children’s files were monitored during the visit. I monitored eleven (11) new staff, and two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit. Staff file concerns: JD health and safety training topics were past due. Staff member AB first aid and CPR training was past due for the first ninety (90) days of employment. I monitored nine (9) children’s files and completed the Children’s Record form. Children’s file concerns: Child CD medical report expired 5/2023 and the child was enrolled in September 2023. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. 10A NCAC 09 .0304(a) 829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. .0604(n) 847 Parent's medication authorization did not include required information. In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. 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 space #3, one tube of diaper cream expired 11/2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member AB hired 11/17/23 did not complete First Aid training within the first 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. Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. GS110-91(1) Technical assistance was provided as follows: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. - An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. Item #829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. - Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. I suggest conducting a playground check to ensure that the gas meter gate is locked prior to children going out to play. Item #847 Parent's medication authorization did not include required information. "10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an ""as needed"" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing." -In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. I suggest reviewing the permission to administer medication forms prior to allowing the medication on site to ensure the form is completed in its entirety. Item #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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #3, one tube of diaper cream expired 11/2023. I suggest reviewing medications monthly to ensure the expiration dates and permission to administer medication forms are in date. Item #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. 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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete First Aid training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #1321 Medical exam or health assessment was not on file before or within 30 days after admission. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. - Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. I suggest reviewing all medical reports prior to enrollment to ensure the dates are within twelve (12) months of the enrollment date. 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 3/21/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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: Today, we discussed the following: - You are in cohort 1 and have submitted your request for the prep assessment. The environmental rating scale scheduler has contacted you and your four (4) week window is 4/29/2024 to 5/24/2024. Remember you if you score 5.0 or higher, can use the prep assessment as your rated license score. If you score below a 5.0, you can use the prep assessment as a resource to help make improvements and have another assessment conducted during your assessment year that will begin 7/1/2024 and end 6/30/2025. - Staff Education and Facility Affiliation- you need to have each of your staff members log into their DCDEE WORKS account to view their WORKS letter, education that has been processed, apply for the position they hold, and link their account to the facility that the are employed. While completing a draft education evaluation, I noticed many of your staff do not have this completed. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety training reminder: - Staff member TT hired 8/21/23 has till 8/21/24 to complete health and safety training topics. - Staff member MT hired 11/6/23 has till 11/6/24 to complete health and safety training topics. -Staff member CM Hired 11/27/2023 has till 11/27/24 to complete health and safety training topics. -Staff member KM hired 8/7/23 has till 8/7/24 to complete health and safety training topics. - Staff member CS hired 12/14/23 has till 12/14/24 to complete health and safety training topics. - Staff member AP hired 10/4/23 has till 10/4/24 to complete health and safety training topics. - Staff member MW hired 11/13/23 has till 11/13/24 to complete health and safety training topics. First Aid and CPR reminder: - Staff member CS hired 12/14/23 has till 6/2024 to renew First Aid and CPR training. - Staff member MT hired 11/6/23 has till 4/2024 to renew First Aid and CPR training. - Staff member NW hired 5/17/23 has till 4/2024 to renew First Aid and CPR training. - Staff member TT hired 8/21/23 has till 10/2024 to renew First Aid and CPR training. Rated License We reviewed staff education and work experience during the visit. - Essential oil diffuser cannot be used while the children are in care, due to unknown allergies that the children may have. - Professional development plans and staff evaluations are due to be completed by 3/17/2024. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Jeannie Akins, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 79 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:30 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. Upon arrival, I was greeted by Jeannie Aikens, Administrator. Ms. Aikens, Administrator, accompanied me during the visit. The program operates with a Four (4) Star Rated License, issued 11/16/2023. The permit restrictions were in compliance including first shift and meets enhanced ratios. The indoor and outdoor areas were monitored today, including 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 first pre-licensing consultation visit was conducted on 3/6/2023. The last temporary visit was conducted on 8/7/2023. The last fire drill was practiced on 2/2/2024. The last shelter-in-place drill was practiced on 2/19/2024. The last playground inspection was documented on 2/2/2024. The last approved fire inspection was dated 3/3/2023. The current fire inspection was completed on 3/6/2024 but was unsatisfactory. The administrator stated that the fire marshal will be coming back out to conduct a follow up visit. The last sanitation inspection was conducted on 9/28/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 2/2/2024. The approved curriculum for four-year-old children is Funny Daffer. All medications were monitored and meet requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Sprouts Early Learning Academy, LLC, is current/active as of 2/23/2024. During the visit, I observed the following: Space #1 the group of infant and one year old children were engaged in play on the floor and one (1) child was awake but resting in the crib. The staff member was on the floor engaged in play with the children and actively supervising. Space #2 the group of one year old children were engaged in gross motor play outdoors. Space #3 the group of two-year-old children were engaged in story time on the carpet with the teacher. After story time, the children prepared for lunch. While monitoring topical ointments, one (1) tube of diaper cream expired 11/2023. The administrator removed it from the classroom during the visit. Space #4 the group of four- to five-year-old children were engaged in free choice center play. The staff was actively supervising the children while engaging in a one on one activity. Space #5 the group of three- to four-year-old children were engaged in gross motor outside play with the parachute, and climbers. Space #6 the group of two- to three-year-old children were engaged in gross motor play outdoors. Space #7 the group of one- to two-year-old children were engaged in free choice center play and story time. Space #8 the group of infants were engaged in play on the floor and one (1) child was asleep in their crib on their back. Staff members were on the floor engaged in play with the children. Space #9 multipurpose space. Lunch/Snack consisted of hamburger, sweet potato fries, cucumbers, and milk. Staff and children’s files were monitored during the visit. I monitored eleven (11) new staff, and two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit. Staff file concerns: JD health and safety training topics were past due. Staff member AB first aid and CPR training was past due for the first ninety (90) days of employment. I monitored nine (9) children’s files and completed the Children’s Record form. Children’s file concerns: Child CD medical report expired 5/2023 and the child was enrolled in September 2023. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. 10A NCAC 09 .0304(a) 829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. .0604(n) 847 Parent's medication authorization did not include required information. In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. 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 space #3, one tube of diaper cream expired 11/2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member AB hired 11/17/23 did not complete First Aid training within the first 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. Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. GS110-91(1) Technical assistance was provided as follows: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. - An approved fire inspection was not obtained within twelve (12) months of the previous fire inspection. Item #829 Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. - Gas meter gate was unlocked and accessible. The administrator corrected this during the visit by locking the lock on the gate. I suggest conducting a playground check to ensure that the gas meter gate is locked prior to children going out to play. Item #847 Parent's medication authorization did not include required information. "10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an ""as needed"" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing." -In space #8, one (1) tube of Buttpaste permission to administer medication form did not have the parent signature giving authorization to administer the medication to the child. When asked the teacher about the medications, the teacher stated that they have not administer the medication. I suggest reviewing the permission to administer medication forms prior to allowing the medication on site to ensure the form is completed in its entirety. Item #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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #3, one tube of diaper cream expired 11/2023. I suggest reviewing medications monthly to ensure the expiration dates and permission to administer medication forms are in date. Item #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. 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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete First Aid training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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/providers/pv_sn2_ov_pd.asp. - Staff member AB hired 11/17/23 did not complete CPR training within the first ninety (90) days of employment. I suggest using a calendar to track due dates for employee trainings. Item #1321 Medical exam or health assessment was not on file before or within 30 days after admission. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. - Medical report for child CD expired prior to enrollment. The medical report on file was date 5/3/2022 and expired on 5/3/2023. The child was enrolled on 9/11/2023. I suggest reviewing all medical reports prior to enrollment to ensure the dates are within twelve (12) months of the enrollment date. 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 3/21/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 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: Today, we discussed the following: - You are in cohort 1 and have submitted your request for the prep assessment. The environmental rating scale scheduler has contacted you and your four (4) week window is 4/29/2024 to 5/24/2024. Remember you if you score 5.0 or higher, can use the prep assessment as your rated license score. If you score below a 5.0, you can use the prep assessment as a resource to help make improvements and have another assessment conducted during your assessment year that will begin 7/1/2024 and end 6/30/2025. - Staff Education and Facility Affiliation- you need to have each of your staff members log into their DCDEE WORKS account to view their WORKS letter, education that has been processed, apply for the position they hold, and link their account to the facility that the are employed. While completing a draft education evaluation, I noticed many of your staff do not have this completed. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety training reminder: - Staff member TT hired 8/21/23 has till 8/21/24 to complete health and safety training topics. - Staff member MT hired 11/6/23 has till 11/6/24 to complete health and safety training topics. -Staff member CM Hired 11/27/2023 has till 11/27/24 to complete health and safety training topics. -Staff member KM hired 8/7/23 has till 8/7/24 to complete health and safety training topics. - Staff member CS hired 12/14/23 has till 12/14/24 to complete health and safety training topics. - Staff member AP hired 10/4/23 has till 10/4/24 to complete health and safety training topics. - Staff member MW hired 11/13/23 has till 11/13/24 to complete health and safety training topics. First Aid and CPR reminder: - Staff member CS hired 12/14/23 has till 6/2024 to renew First Aid and CPR training. - Staff member MT hired 11/6/23 has till 4/2024 to renew First Aid and CPR training. - Staff member NW hired 5/17/23 has till 4/2024 to renew First Aid and CPR training. - Staff member TT hired 8/21/23 has till 10/2024 to renew First Aid and CPR training. Rated License We reviewed staff education and work experience during the visit. - Essential oil diffuser cannot be used while the children are in care, due to unknown allergies that the children may have. - Professional development plans and staff evaluations are due to be completed by 3/17/2024. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Jeannie Akins, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, 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 .0102 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 48 Completed Date: 8/7/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Karla Terry, Child Care Consultant, accompanied me on the visit. Jeannie Aiken, Administrator, and McKenzie O’Connor, Co-Director and Legal Operator, were on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Jeannie Aiken, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jeannie Aiken. Currently this center operates with a Temporary License, issued 3/17/23 and is effective through 9/17/23. The restrictions include daytime care only; meets enhanced ratios; maximum capacity one hundred thirty (130) children; and age range; 0-5 years. The Secretary of State website was reviewed today, and the limited liability company, Sprouts Early Learning Academy, LLC, is listed as active-current. If any changes to the organization need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 7/31/23. The last shelter-in-place drill was practiced on 6/28/23. The last monthly playground inspection was completed on 7/24/23. The last sanitation inspection was under the previous ownership on 10/4/22 with ten (10) demerits for a Superior classification. An approved fire inspection was completed on 3/3/23. An approved building inspection was completed on 3/7/23. The Emergency Preparedness Response (EPR) plan was completed on 6/22/23. The emergency medical care (EMC) plan was posted and current. The incident log was in use and maintained. The children were observed in routine care, free play, and outdoor play. The teachers in the classroom with infants and toddlers, spaces #8 and #1, were on the floor playing with the children. The two-year-old children, from space #3, were outdoors playing and had sufficient materials. The four and five year old children, from space #4, were outdoors riding tricycles. A different classroom of four year old children, from space #5, were outdoors playing “red light, green light.” The two and three year old children, in space #6, were singing songs with the teachers. There were five (5) new staff since the last visit. The five (5) staff files were monitored. Ms. Aiken would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2023-24 prep year. Plan to visit the ncrlap.org website for additional information, webinars, and resources. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Spaces #3 and #6, had plastic bags or easily torn plastic stored below five feet and accessible to children under three years of age. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hired on 8/3/23, did not have an emergency information form on file. Refer to the staff and training worksheet. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hired on 8/3/23, was caring for children today during the visit and did not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: *Safety for Children Under Three Years of Age – Corrected During the Visit The plastic bags and easily torn plastic must be stored at least five (5) feet from the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. *Emergency Information Form - Corrected During the Visit The one (1) staff, H.C., must complete the emergency information form. This form is required to be completed on or before the first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. *Prevention of Shaken Baby and Abusive Head Trauma Policy Acknowledgment for Staff - Corrected During the Visit The one (1) staff, H.C., must review and sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 87%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the four (4) points for staff education based on the previous ownership. Program Standards: The facility will use the five (5) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced staff/child ratios. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Funny Daffer. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A sanitation inspection must be conducted prior to the expiration of the temporary license due to the change of ownership. Ms. Aiken stated she has called Tim Gentry, Buncombe County Environmental Health (BCEH) Specialist, at least four (4) times and emailed him one (1) time over the last four (4) months. During the visit today, Melissa Bennett, BCEH Supervisor, was contacted via email by the child care consultant. During the visit today, Ms. Aiken called Ms. Bennett. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/3/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. During a future visit, it may be requested by the child care consultant to observe a fire drill, shelter-in-place drill, or lockdown drill. Karla Terry is assigned as your child care consultant once you transition to a rated license. You may reach Ms. Terry at karla.terry@dhhs.nc.gov or 828.200.9952. Per Ms. Aiken, one (1) staff, G.W., began employment on 8/3/23 to start orientation and became ill. The staff has not returned and has not cared for children. The staff will need to sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement when they return to continue with orientation and prior to caring for children. We discussed that it is recommended to have the parent or guardian write in when the medication was delivered to the center and the medication administration authorization form. We discussed storage of hand lotions. Plan to discuss this further with BCEH. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 48 Completed Date: 8/7/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Karla Terry, Child Care Consultant, accompanied me on the visit. Jeannie Aiken, Administrator, and McKenzie O’Connor, Co-Director and Legal Operator, were on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Jeannie Aiken, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jeannie Aiken. Currently this center operates with a Temporary License, issued 3/17/23 and is effective through 9/17/23. The restrictions include daytime care only; meets enhanced ratios; maximum capacity one hundred thirty (130) children; and age range; 0-5 years. The Secretary of State website was reviewed today, and the limited liability company, Sprouts Early Learning Academy, LLC, is listed as active-current. If any changes to the organization need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 7/31/23. The last shelter-in-place drill was practiced on 6/28/23. The last monthly playground inspection was completed on 7/24/23. The last sanitation inspection was under the previous ownership on 10/4/22 with ten (10) demerits for a Superior classification. An approved fire inspection was completed on 3/3/23. An approved building inspection was completed on 3/7/23. The Emergency Preparedness Response (EPR) plan was completed on 6/22/23. The emergency medical care (EMC) plan was posted and current. The incident log was in use and maintained. The children were observed in routine care, free play, and outdoor play. The teachers in the classroom with infants and toddlers, spaces #8 and #1, were on the floor playing with the children. The two-year-old children, from space #3, were outdoors playing and had sufficient materials. The four and five year old children, from space #4, were outdoors riding tricycles. A different classroom of four year old children, from space #5, were outdoors playing “red light, green light.” The two and three year old children, in space #6, were singing songs with the teachers. There were five (5) new staff since the last visit. The five (5) staff files were monitored. Ms. Aiken would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2023-24 prep year. Plan to visit the ncrlap.org website for additional information, webinars, and resources. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Spaces #3 and #6, had plastic bags or easily torn plastic stored below five feet and accessible to children under three years of age. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hired on 8/3/23, did not have an emergency information form on file. Refer to the staff and training worksheet. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hired on 8/3/23, was caring for children today during the visit and did not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: *Safety for Children Under Three Years of Age – Corrected During the Visit The plastic bags and easily torn plastic must be stored at least five (5) feet from the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. *Emergency Information Form - Corrected During the Visit The one (1) staff, H.C., must complete the emergency information form. This form is required to be completed on or before the first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. *Prevention of Shaken Baby and Abusive Head Trauma Policy Acknowledgment for Staff - Corrected During the Visit The one (1) staff, H.C., must review and sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 87%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the four (4) points for staff education based on the previous ownership. Program Standards: The facility will use the five (5) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced staff/child ratios. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Funny Daffer. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A sanitation inspection must be conducted prior to the expiration of the temporary license due to the change of ownership. Ms. Aiken stated she has called Tim Gentry, Buncombe County Environmental Health (BCEH) Specialist, at least four (4) times and emailed him one (1) time over the last four (4) months. During the visit today, Melissa Bennett, BCEH Supervisor, was contacted via email by the child care consultant. During the visit today, Ms. Aiken called Ms. Bennett. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/3/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. During a future visit, it may be requested by the child care consultant to observe a fire drill, shelter-in-place drill, or lockdown drill. Karla Terry is assigned as your child care consultant once you transition to a rated license. You may reach Ms. Terry at karla.terry@dhhs.nc.gov or 828.200.9952. Per Ms. Aiken, one (1) staff, G.W., began employment on 8/3/23 to start orientation and became ill. The staff has not returned and has not cared for children. The staff will need to sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement when they return to continue with orientation and prior to caring for children. We discussed that it is recommended to have the parent or guardian write in when the medication was delivered to the center and the medication administration authorization form. We discussed storage of hand lotions. Plan to discuss this further with BCEH. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 48 Completed Date: 8/7/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Karla Terry, Child Care Consultant, accompanied me on the visit. Jeannie Aiken, Administrator, and McKenzie O’Connor, Co-Director and Legal Operator, were on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Jeannie Aiken, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jeannie Aiken. Currently this center operates with a Temporary License, issued 3/17/23 and is effective through 9/17/23. The restrictions include daytime care only; meets enhanced ratios; maximum capacity one hundred thirty (130) children; and age range; 0-5 years. The Secretary of State website was reviewed today, and the limited liability company, Sprouts Early Learning Academy, LLC, is listed as active-current. If any changes to the organization need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 7/31/23. The last shelter-in-place drill was practiced on 6/28/23. The last monthly playground inspection was completed on 7/24/23. The last sanitation inspection was under the previous ownership on 10/4/22 with ten (10) demerits for a Superior classification. An approved fire inspection was completed on 3/3/23. An approved building inspection was completed on 3/7/23. The Emergency Preparedness Response (EPR) plan was completed on 6/22/23. The emergency medical care (EMC) plan was posted and current. The incident log was in use and maintained. The children were observed in routine care, free play, and outdoor play. The teachers in the classroom with infants and toddlers, spaces #8 and #1, were on the floor playing with the children. The two-year-old children, from space #3, were outdoors playing and had sufficient materials. The four and five year old children, from space #4, were outdoors riding tricycles. A different classroom of four year old children, from space #5, were outdoors playing “red light, green light.” The two and three year old children, in space #6, were singing songs with the teachers. There were five (5) new staff since the last visit. The five (5) staff files were monitored. Ms. Aiken would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2023-24 prep year. Plan to visit the ncrlap.org website for additional information, webinars, and resources. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Spaces #3 and #6, had plastic bags or easily torn plastic stored below five feet and accessible to children under three years of age. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hired on 8/3/23, did not have an emergency information form on file. Refer to the staff and training worksheet. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hired on 8/3/23, was caring for children today during the visit and did not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: *Safety for Children Under Three Years of Age – Corrected During the Visit The plastic bags and easily torn plastic must be stored at least five (5) feet from the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. *Emergency Information Form - Corrected During the Visit The one (1) staff, H.C., must complete the emergency information form. This form is required to be completed on or before the first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. *Prevention of Shaken Baby and Abusive Head Trauma Policy Acknowledgment for Staff - Corrected During the Visit The one (1) staff, H.C., must review and sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 87%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the four (4) points for staff education based on the previous ownership. Program Standards: The facility will use the five (5) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced staff/child ratios. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Funny Daffer. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A sanitation inspection must be conducted prior to the expiration of the temporary license due to the change of ownership. Ms. Aiken stated she has called Tim Gentry, Buncombe County Environmental Health (BCEH) Specialist, at least four (4) times and emailed him one (1) time over the last four (4) months. During the visit today, Melissa Bennett, BCEH Supervisor, was contacted via email by the child care consultant. During the visit today, Ms. Aiken called Ms. Bennett. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/3/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. During a future visit, it may be requested by the child care consultant to observe a fire drill, shelter-in-place drill, or lockdown drill. Karla Terry is assigned as your child care consultant once you transition to a rated license. You may reach Ms. Terry at karla.terry@dhhs.nc.gov or 828.200.9952. Per Ms. Aiken, one (1) staff, G.W., began employment on 8/3/23 to start orientation and became ill. The staff has not returned and has not cared for children. The staff will need to sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement when they return to continue with orientation and prior to caring for children. We discussed that it is recommended to have the parent or guardian write in when the medication was delivered to the center and the medication administration authorization form. We discussed storage of hand lotions. Plan to discuss this further with BCEH. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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 .0608 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 48 Completed Date: 8/7/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Karla Terry, Child Care Consultant, accompanied me on the visit. Jeannie Aiken, Administrator, and McKenzie O’Connor, Co-Director and Legal Operator, were on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Jeannie Aiken, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jeannie Aiken. Currently this center operates with a Temporary License, issued 3/17/23 and is effective through 9/17/23. The restrictions include daytime care only; meets enhanced ratios; maximum capacity one hundred thirty (130) children; and age range; 0-5 years. The Secretary of State website was reviewed today, and the limited liability company, Sprouts Early Learning Academy, LLC, is listed as active-current. If any changes to the organization need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 7/31/23. The last shelter-in-place drill was practiced on 6/28/23. The last monthly playground inspection was completed on 7/24/23. The last sanitation inspection was under the previous ownership on 10/4/22 with ten (10) demerits for a Superior classification. An approved fire inspection was completed on 3/3/23. An approved building inspection was completed on 3/7/23. The Emergency Preparedness Response (EPR) plan was completed on 6/22/23. The emergency medical care (EMC) plan was posted and current. The incident log was in use and maintained. The children were observed in routine care, free play, and outdoor play. The teachers in the classroom with infants and toddlers, spaces #8 and #1, were on the floor playing with the children. The two-year-old children, from space #3, were outdoors playing and had sufficient materials. The four and five year old children, from space #4, were outdoors riding tricycles. A different classroom of four year old children, from space #5, were outdoors playing “red light, green light.” The two and three year old children, in space #6, were singing songs with the teachers. There were five (5) new staff since the last visit. The five (5) staff files were monitored. Ms. Aiken would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2023-24 prep year. Plan to visit the ncrlap.org website for additional information, webinars, and resources. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Spaces #3 and #6, had plastic bags or easily torn plastic stored below five feet and accessible to children under three years of age. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hired on 8/3/23, did not have an emergency information form on file. Refer to the staff and training worksheet. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hired on 8/3/23, was caring for children today during the visit and did not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: *Safety for Children Under Three Years of Age – Corrected During the Visit The plastic bags and easily torn plastic must be stored at least five (5) feet from the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. *Emergency Information Form - Corrected During the Visit The one (1) staff, H.C., must complete the emergency information form. This form is required to be completed on or before the first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. *Prevention of Shaken Baby and Abusive Head Trauma Policy Acknowledgment for Staff - Corrected During the Visit The one (1) staff, H.C., must review and sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 87%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the four (4) points for staff education based on the previous ownership. Program Standards: The facility will use the five (5) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced staff/child ratios. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Funny Daffer. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A sanitation inspection must be conducted prior to the expiration of the temporary license due to the change of ownership. Ms. Aiken stated she has called Tim Gentry, Buncombe County Environmental Health (BCEH) Specialist, at least four (4) times and emailed him one (1) time over the last four (4) months. During the visit today, Melissa Bennett, BCEH Supervisor, was contacted via email by the child care consultant. During the visit today, Ms. Aiken called Ms. Bennett. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/3/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. During a future visit, it may be requested by the child care consultant to observe a fire drill, shelter-in-place drill, or lockdown drill. Karla Terry is assigned as your child care consultant once you transition to a rated license. You may reach Ms. Terry at karla.terry@dhhs.nc.gov or 828.200.9952. Per Ms. Aiken, one (1) staff, G.W., began employment on 8/3/23 to start orientation and became ill. The staff has not returned and has not cared for children. The staff will need to sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement when they return to continue with orientation and prior to caring for children. We discussed that it is recommended to have the parent or guardian write in when the medication was delivered to the center and the medication administration authorization form. We discussed storage of hand lotions. Plan to discuss this further with BCEH. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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 .0701 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 48 Completed Date: 8/7/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Karla Terry, Child Care Consultant, accompanied me on the visit. Jeannie Aiken, Administrator, and McKenzie O’Connor, Co-Director and Legal Operator, were on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Jeannie Aiken, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jeannie Aiken. Currently this center operates with a Temporary License, issued 3/17/23 and is effective through 9/17/23. The restrictions include daytime care only; meets enhanced ratios; maximum capacity one hundred thirty (130) children; and age range; 0-5 years. The Secretary of State website was reviewed today, and the limited liability company, Sprouts Early Learning Academy, LLC, is listed as active-current. If any changes to the organization need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 7/31/23. The last shelter-in-place drill was practiced on 6/28/23. The last monthly playground inspection was completed on 7/24/23. The last sanitation inspection was under the previous ownership on 10/4/22 with ten (10) demerits for a Superior classification. An approved fire inspection was completed on 3/3/23. An approved building inspection was completed on 3/7/23. The Emergency Preparedness Response (EPR) plan was completed on 6/22/23. The emergency medical care (EMC) plan was posted and current. The incident log was in use and maintained. The children were observed in routine care, free play, and outdoor play. The teachers in the classroom with infants and toddlers, spaces #8 and #1, were on the floor playing with the children. The two-year-old children, from space #3, were outdoors playing and had sufficient materials. The four and five year old children, from space #4, were outdoors riding tricycles. A different classroom of four year old children, from space #5, were outdoors playing “red light, green light.” The two and three year old children, in space #6, were singing songs with the teachers. There were five (5) new staff since the last visit. The five (5) staff files were monitored. Ms. Aiken would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2023-24 prep year. Plan to visit the ncrlap.org website for additional information, webinars, and resources. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Spaces #3 and #6, had plastic bags or easily torn plastic stored below five feet and accessible to children under three years of age. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hired on 8/3/23, did not have an emergency information form on file. Refer to the staff and training worksheet. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hired on 8/3/23, was caring for children today during the visit and did not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: *Safety for Children Under Three Years of Age – Corrected During the Visit The plastic bags and easily torn plastic must be stored at least five (5) feet from the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. *Emergency Information Form - Corrected During the Visit The one (1) staff, H.C., must complete the emergency information form. This form is required to be completed on or before the first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. *Prevention of Shaken Baby and Abusive Head Trauma Policy Acknowledgment for Staff - Corrected During the Visit The one (1) staff, H.C., must review and sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 87%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the four (4) points for staff education based on the previous ownership. Program Standards: The facility will use the five (5) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced staff/child ratios. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Funny Daffer. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A sanitation inspection must be conducted prior to the expiration of the temporary license due to the change of ownership. Ms. Aiken stated she has called Tim Gentry, Buncombe County Environmental Health (BCEH) Specialist, at least four (4) times and emailed him one (1) time over the last four (4) months. During the visit today, Melissa Bennett, BCEH Supervisor, was contacted via email by the child care consultant. During the visit today, Ms. Aiken called Ms. Bennett. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/3/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. During a future visit, it may be requested by the child care consultant to observe a fire drill, shelter-in-place drill, or lockdown drill. Karla Terry is assigned as your child care consultant once you transition to a rated license. You may reach Ms. Terry at karla.terry@dhhs.nc.gov or 828.200.9952. Per Ms. Aiken, one (1) staff, G.W., began employment on 8/3/23 to start orientation and became ill. The staff has not returned and has not cared for children. The staff will need to sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement when they return to continue with orientation and prior to caring for children. We discussed that it is recommended to have the parent or guardian write in when the medication was delivered to the center and the medication administration authorization form. We discussed storage of hand lotions. Plan to discuss this further with BCEH. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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 .2215 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 48 Completed Date: 8/7/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Karla Terry, Child Care Consultant, accompanied me on the visit. Jeannie Aiken, Administrator, and McKenzie O’Connor, Co-Director and Legal Operator, were on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Jeannie Aiken, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jeannie Aiken. Currently this center operates with a Temporary License, issued 3/17/23 and is effective through 9/17/23. The restrictions include daytime care only; meets enhanced ratios; maximum capacity one hundred thirty (130) children; and age range; 0-5 years. The Secretary of State website was reviewed today, and the limited liability company, Sprouts Early Learning Academy, LLC, is listed as active-current. If any changes to the organization need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 7/31/23. The last shelter-in-place drill was practiced on 6/28/23. The last monthly playground inspection was completed on 7/24/23. The last sanitation inspection was under the previous ownership on 10/4/22 with ten (10) demerits for a Superior classification. An approved fire inspection was completed on 3/3/23. An approved building inspection was completed on 3/7/23. The Emergency Preparedness Response (EPR) plan was completed on 6/22/23. The emergency medical care (EMC) plan was posted and current. The incident log was in use and maintained. The children were observed in routine care, free play, and outdoor play. The teachers in the classroom with infants and toddlers, spaces #8 and #1, were on the floor playing with the children. The two-year-old children, from space #3, were outdoors playing and had sufficient materials. The four and five year old children, from space #4, were outdoors riding tricycles. A different classroom of four year old children, from space #5, were outdoors playing “red light, green light.” The two and three year old children, in space #6, were singing songs with the teachers. There were five (5) new staff since the last visit. The five (5) staff files were monitored. Ms. Aiken would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2023-24 prep year. Plan to visit the ncrlap.org website for additional information, webinars, and resources. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Spaces #3 and #6, had plastic bags or easily torn plastic stored below five feet and accessible to children under three years of age. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hired on 8/3/23, did not have an emergency information form on file. Refer to the staff and training worksheet. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hired on 8/3/23, was caring for children today during the visit and did not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: *Safety for Children Under Three Years of Age – Corrected During the Visit The plastic bags and easily torn plastic must be stored at least five (5) feet from the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. *Emergency Information Form - Corrected During the Visit The one (1) staff, H.C., must complete the emergency information form. This form is required to be completed on or before the first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. *Prevention of Shaken Baby and Abusive Head Trauma Policy Acknowledgment for Staff - Corrected During the Visit The one (1) staff, H.C., must review and sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 87%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the four (4) points for staff education based on the previous ownership. Program Standards: The facility will use the five (5) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced staff/child ratios. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Funny Daffer. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A sanitation inspection must be conducted prior to the expiration of the temporary license due to the change of ownership. Ms. Aiken stated she has called Tim Gentry, Buncombe County Environmental Health (BCEH) Specialist, at least four (4) times and emailed him one (1) time over the last four (4) months. During the visit today, Melissa Bennett, BCEH Supervisor, was contacted via email by the child care consultant. During the visit today, Ms. Aiken called Ms. Bennett. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/3/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. During a future visit, it may be requested by the child care consultant to observe a fire drill, shelter-in-place drill, or lockdown drill. Karla Terry is assigned as your child care consultant once you transition to a rated license. You may reach Ms. Terry at karla.terry@dhhs.nc.gov or 828.200.9952. Per Ms. Aiken, one (1) staff, G.W., began employment on 8/3/23 to start orientation and became ill. The staff has not returned and has not cared for children. The staff will need to sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement when they return to continue with orientation and prior to caring for children. We discussed that it is recommended to have the parent or guardian write in when the medication was delivered to the center and the medication administration authorization form. We discussed storage of hand lotions. Plan to discuss this further with BCEH. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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 .2802 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 48 Completed Date: 8/7/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Karla Terry, Child Care Consultant, accompanied me on the visit. Jeannie Aiken, Administrator, and McKenzie O’Connor, Co-Director and Legal Operator, were on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Jeannie Aiken, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jeannie Aiken. Currently this center operates with a Temporary License, issued 3/17/23 and is effective through 9/17/23. The restrictions include daytime care only; meets enhanced ratios; maximum capacity one hundred thirty (130) children; and age range; 0-5 years. The Secretary of State website was reviewed today, and the limited liability company, Sprouts Early Learning Academy, LLC, is listed as active-current. If any changes to the organization need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 7/31/23. The last shelter-in-place drill was practiced on 6/28/23. The last monthly playground inspection was completed on 7/24/23. The last sanitation inspection was under the previous ownership on 10/4/22 with ten (10) demerits for a Superior classification. An approved fire inspection was completed on 3/3/23. An approved building inspection was completed on 3/7/23. The Emergency Preparedness Response (EPR) plan was completed on 6/22/23. The emergency medical care (EMC) plan was posted and current. The incident log was in use and maintained. The children were observed in routine care, free play, and outdoor play. The teachers in the classroom with infants and toddlers, spaces #8 and #1, were on the floor playing with the children. The two-year-old children, from space #3, were outdoors playing and had sufficient materials. The four and five year old children, from space #4, were outdoors riding tricycles. A different classroom of four year old children, from space #5, were outdoors playing “red light, green light.” The two and three year old children, in space #6, were singing songs with the teachers. There were five (5) new staff since the last visit. The five (5) staff files were monitored. Ms. Aiken would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2023-24 prep year. Plan to visit the ncrlap.org website for additional information, webinars, and resources. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Spaces #3 and #6, had plastic bags or easily torn plastic stored below five feet and accessible to children under three years of age. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hired on 8/3/23, did not have an emergency information form on file. Refer to the staff and training worksheet. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hired on 8/3/23, was caring for children today during the visit and did not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: *Safety for Children Under Three Years of Age – Corrected During the Visit The plastic bags and easily torn plastic must be stored at least five (5) feet from the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. *Emergency Information Form - Corrected During the Visit The one (1) staff, H.C., must complete the emergency information form. This form is required to be completed on or before the first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. *Prevention of Shaken Baby and Abusive Head Trauma Policy Acknowledgment for Staff - Corrected During the Visit The one (1) staff, H.C., must review and sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 87%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the four (4) points for staff education based on the previous ownership. Program Standards: The facility will use the five (5) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced staff/child ratios. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Funny Daffer. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A sanitation inspection must be conducted prior to the expiration of the temporary license due to the change of ownership. Ms. Aiken stated she has called Tim Gentry, Buncombe County Environmental Health (BCEH) Specialist, at least four (4) times and emailed him one (1) time over the last four (4) months. During the visit today, Melissa Bennett, BCEH Supervisor, was contacted via email by the child care consultant. During the visit today, Ms. Aiken called Ms. Bennett. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/3/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. During a future visit, it may be requested by the child care consultant to observe a fire drill, shelter-in-place drill, or lockdown drill. Karla Terry is assigned as your child care consultant once you transition to a rated license. You may reach Ms. Terry at karla.terry@dhhs.nc.gov or 828.200.9952. Per Ms. Aiken, one (1) staff, G.W., began employment on 8/3/23 to start orientation and became ill. The staff has not returned and has not cared for children. The staff will need to sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement when they return to continue with orientation and prior to caring for children. We discussed that it is recommended to have the parent or guardian write in when the medication was delivered to the center and the medication administration authorization form. We discussed storage of hand lotions. Plan to discuss this further with BCEH. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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 .2818 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 48 Completed Date: 8/7/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Karla Terry, Child Care Consultant, accompanied me on the visit. Jeannie Aiken, Administrator, and McKenzie O’Connor, Co-Director and Legal Operator, were on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Jeannie Aiken, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jeannie Aiken. Currently this center operates with a Temporary License, issued 3/17/23 and is effective through 9/17/23. The restrictions include daytime care only; meets enhanced ratios; maximum capacity one hundred thirty (130) children; and age range; 0-5 years. The Secretary of State website was reviewed today, and the limited liability company, Sprouts Early Learning Academy, LLC, is listed as active-current. If any changes to the organization need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 7/31/23. The last shelter-in-place drill was practiced on 6/28/23. The last monthly playground inspection was completed on 7/24/23. The last sanitation inspection was under the previous ownership on 10/4/22 with ten (10) demerits for a Superior classification. An approved fire inspection was completed on 3/3/23. An approved building inspection was completed on 3/7/23. The Emergency Preparedness Response (EPR) plan was completed on 6/22/23. The emergency medical care (EMC) plan was posted and current. The incident log was in use and maintained. The children were observed in routine care, free play, and outdoor play. The teachers in the classroom with infants and toddlers, spaces #8 and #1, were on the floor playing with the children. The two-year-old children, from space #3, were outdoors playing and had sufficient materials. The four and five year old children, from space #4, were outdoors riding tricycles. A different classroom of four year old children, from space #5, were outdoors playing “red light, green light.” The two and three year old children, in space #6, were singing songs with the teachers. There were five (5) new staff since the last visit. The five (5) staff files were monitored. Ms. Aiken would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2023-24 prep year. Plan to visit the ncrlap.org website for additional information, webinars, and resources. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Spaces #3 and #6, had plastic bags or easily torn plastic stored below five feet and accessible to children under three years of age. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hired on 8/3/23, did not have an emergency information form on file. Refer to the staff and training worksheet. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hired on 8/3/23, was caring for children today during the visit and did not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: *Safety for Children Under Three Years of Age – Corrected During the Visit The plastic bags and easily torn plastic must be stored at least five (5) feet from the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. *Emergency Information Form - Corrected During the Visit The one (1) staff, H.C., must complete the emergency information form. This form is required to be completed on or before the first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. *Prevention of Shaken Baby and Abusive Head Trauma Policy Acknowledgment for Staff - Corrected During the Visit The one (1) staff, H.C., must review and sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 87%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the four (4) points for staff education based on the previous ownership. Program Standards: The facility will use the five (5) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced staff/child ratios. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Funny Daffer. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A sanitation inspection must be conducted prior to the expiration of the temporary license due to the change of ownership. Ms. Aiken stated she has called Tim Gentry, Buncombe County Environmental Health (BCEH) Specialist, at least four (4) times and emailed him one (1) time over the last four (4) months. During the visit today, Melissa Bennett, BCEH Supervisor, was contacted via email by the child care consultant. During the visit today, Ms. Aiken called Ms. Bennett. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/3/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. During a future visit, it may be requested by the child care consultant to observe a fire drill, shelter-in-place drill, or lockdown drill. Karla Terry is assigned as your child care consultant once you transition to a rated license. You may reach Ms. Terry at karla.terry@dhhs.nc.gov or 828.200.9952. Per Ms. Aiken, one (1) staff, G.W., began employment on 8/3/23 to start orientation and became ill. The staff has not returned and has not cared for children. The staff will need to sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement when they return to continue with orientation and prior to caring for children. We discussed that it is recommended to have the parent or guardian write in when the medication was delivered to the center and the medication administration authorization form. We discussed storage of hand lotions. Plan to discuss this further with BCEH. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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 .2830 · Violation

Name of Operation: SPROUTS EARLY LEARNING ACADEMY Facility ID: 11000938 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 48 Completed Date: 8/7/2023 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Karla Terry, Child Care Consultant, accompanied me on the visit. Jeannie Aiken, Administrator, and McKenzie O’Connor, Co-Director and Legal Operator, were on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Jeannie Aiken, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jeannie Aiken. Currently this center operates with a Temporary License, issued 3/17/23 and is effective through 9/17/23. The restrictions include daytime care only; meets enhanced ratios; maximum capacity one hundred thirty (130) children; and age range; 0-5 years. The Secretary of State website was reviewed today, and the limited liability company, Sprouts Early Learning Academy, LLC, is listed as active-current. If any changes to the organization need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 7/31/23. The last shelter-in-place drill was practiced on 6/28/23. The last monthly playground inspection was completed on 7/24/23. The last sanitation inspection was under the previous ownership on 10/4/22 with ten (10) demerits for a Superior classification. An approved fire inspection was completed on 3/3/23. An approved building inspection was completed on 3/7/23. The Emergency Preparedness Response (EPR) plan was completed on 6/22/23. The emergency medical care (EMC) plan was posted and current. The incident log was in use and maintained. The children were observed in routine care, free play, and outdoor play. The teachers in the classroom with infants and toddlers, spaces #8 and #1, were on the floor playing with the children. The two-year-old children, from space #3, were outdoors playing and had sufficient materials. The four and five year old children, from space #4, were outdoors riding tricycles. A different classroom of four year old children, from space #5, were outdoors playing “red light, green light.” The two and three year old children, in space #6, were singing songs with the teachers. There were five (5) new staff since the last visit. The five (5) staff files were monitored. Ms. Aiken would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 1. We discussed the resources available during the 2023-24 prep year. Plan to visit the ncrlap.org website for additional information, webinars, and resources. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Spaces #3 and #6, had plastic bags or easily torn plastic stored below five feet and accessible to children under three years of age. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hired on 8/3/23, did not have an emergency information form on file. Refer to the staff and training worksheet. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hired on 8/3/23, was caring for children today during the visit and did not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: *Safety for Children Under Three Years of Age – Corrected During the Visit The plastic bags and easily torn plastic must be stored at least five (5) feet from the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. *Emergency Information Form - Corrected During the Visit The one (1) staff, H.C., must complete the emergency information form. This form is required to be completed on or before the first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. *Prevention of Shaken Baby and Abusive Head Trauma Policy Acknowledgment for Staff - Corrected During the Visit The one (1) staff, H.C., must review and sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 87%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the four (4) points for staff education based on the previous ownership. Program Standards: The facility will use the five (5) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced staff/child ratios. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Funny Daffer. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A sanitation inspection must be conducted prior to the expiration of the temporary license due to the change of ownership. Ms. Aiken stated she has called Tim Gentry, Buncombe County Environmental Health (BCEH) Specialist, at least four (4) times and emailed him one (1) time over the last four (4) months. During the visit today, Melissa Bennett, BCEH Supervisor, was contacted via email by the child care consultant. During the visit today, Ms. Aiken called Ms. Bennett. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the annual fire inspection is due on or before 3/3/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. During a future visit, it may be requested by the child care consultant to observe a fire drill, shelter-in-place drill, or lockdown drill. Karla Terry is assigned as your child care consultant once you transition to a rated license. You may reach Ms. Terry at karla.terry@dhhs.nc.gov or 828.200.9952. Per Ms. Aiken, one (1) staff, G.W., began employment on 8/3/23 to start orientation and became ill. The staff has not returned and has not cared for children. The staff will need to sign the Prevention of Shaken Baby and Abusive Head Trauma policy acknowledgement when they return to continue with orientation and prior to caring for children. We discussed that it is recommended to have the parent or guardian write in when the medication was delivered to the center and the medication administration authorization form. We discussed storage of hand lotions. Plan to discuss this further with BCEH. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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