East Asheville Academy

10A NCAC 09 .0601 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/2/2026 Number Present: 31 Completed Date: 3/2/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 10:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on December 1, 2025. 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director and Teresa Webb, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 2/27/2026. East Asheville Academy operates with three-star center license issued on 7/8/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance The indoor and outdoor environments used by the children were monitored. Space #1 the group of infants were napping, exploring the room, and eating. Staff was assisting the child in the highchair while supervising the other children. While monitoring the room, I observed a safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. We discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Space #2 the group of one- to two-year-olds were engaged in free play with books, puzzles, and soft toys. The staff were sitting in the floor engaged in playing with the children. After free play, the children prepared for lunch. At lunch, I observed one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated he was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute. When lunch concluded the group prepared for nap. At nap, the staff used natural lighting and low calming music to assist with resting. Space #3 the group of two- to three-year-olds were engaged in group art activity at the table. After painting the group prepared for lunch. When lunch concluded the group transitioned to their cots and mats for nap. While observing nap we discussed the white noise music was too loud and needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Space #4 the group of four- to five-year-olds were engaged in looking at books and using the restroom. After looking at books the group prepared for lunch. When lunch concluded the group prepared for nap. During nap, the staff used natural lighting and low calming music to assist the children with resting. While monitoring outdoors, I observed debris on the playground. The director stated this was her first initial inspection for the day and picked up the debris during the visit and discarded it. No children were present outdoors. We also discussed before the infant toddlers come out on the playground pick up and remove any small pieces of mulch or rocks. The director stated she will bring out the blower and blow the area off to ensure no choking hazards are present. One (1) new staff member was hired 2/25/2026. While monitoring the staff members’ file, I observed the TB Screening Questionnaire signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Orientation will begin today 3/2/2026. I reminded the administrator that the first two weeks of orientation are due to be completed by 3/11/2026 and first six weeks are due by 4/8/2026. The staff members First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment are due by 5/26/2026. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age-appropriate activities were provided. Program records were available for review during the visit. We discussed reviewing with the infant room staff that sleep checks must be conducted and documented every fifteen (15) minutes. We also discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Staff member hired 2/25/2026 First Aid and CPR training is due by 5/26/2026. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. During the 1/16/2026 visit, I emailed Monica Houck, Lead Licensing Consultant to schedule the rules review for 2/16/2026. Ms. Houck replied back via email on 1/16/2026 to confirm scheduling of the rules review for 2/16/2026 at 12:30p. Rules review was completed on 2/16/2026. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Ms. Webb stated that she had planned to appeal but since the appeal deadline was 12/31/2025, the action is active as of 1/1/2026. On 1/16/2026, Ms. Webb stated she would schedule a staff meeting within two (2) weeks to review the implementation plan with staff. A staff meeting was scheduled for 1/26/2026, due to inclement weather the meeting was rescheduled for 1/29/2026. The email that was sent on 1/30/2026 documented after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be sent to me. The sign-in sheet and minutes were received. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Space 2, at lunch, one (1) child was served water instead of a fluid milk component. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. Space 1, safe sleep check charts were monitored at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. .0701(a) Technical assistance was provided as follows: Item 501- Space 2, at lunch, one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated the child was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute that the parents provide from home. Rule Reference: 10A NCAC 09 .0901(a) Item 807- Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. We discussed the music needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Rule Reference: 10A NCAC 09.0601(a) Item 871- Space 1, I observed safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. The staff member completed the safe sleep check during the visit. We discussed setting a timer and posting the safe sleep check charts at the cribs as a reminder to document. Rule Reference: 10A NCAC 09.0606(a) Item 1033- Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/16/2026. 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: -We reviewed and discussed the facility operating hours. Ms. Webb confirmed that the facility hours have changed from 7:30a to 5:30p to 8:00a to 5:00p. She is hoping to be able to return to the previous operating hours in the near future. I asked that she notify me prior to the change. -We discussed reviewing the safe sleep policy with the infant room staff, adding a timer to assist with the fifteen (15) minute checks, and moving the safe sleep chart to be posted above the crib or on the side of the crib to be a reminder to complete the chart when checking the children. -ABCMS- Reminder to add new staff member to the employee roster by 3/4/2026. 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 .0901 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/2/2026 Number Present: 31 Completed Date: 3/2/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 10:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on December 1, 2025. 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director and Teresa Webb, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 2/27/2026. East Asheville Academy operates with three-star center license issued on 7/8/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance The indoor and outdoor environments used by the children were monitored. Space #1 the group of infants were napping, exploring the room, and eating. Staff was assisting the child in the highchair while supervising the other children. While monitoring the room, I observed a safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. We discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Space #2 the group of one- to two-year-olds were engaged in free play with books, puzzles, and soft toys. The staff were sitting in the floor engaged in playing with the children. After free play, the children prepared for lunch. At lunch, I observed one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated he was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute. When lunch concluded the group prepared for nap. At nap, the staff used natural lighting and low calming music to assist with resting. Space #3 the group of two- to three-year-olds were engaged in group art activity at the table. After painting the group prepared for lunch. When lunch concluded the group transitioned to their cots and mats for nap. While observing nap we discussed the white noise music was too loud and needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Space #4 the group of four- to five-year-olds were engaged in looking at books and using the restroom. After looking at books the group prepared for lunch. When lunch concluded the group prepared for nap. During nap, the staff used natural lighting and low calming music to assist the children with resting. While monitoring outdoors, I observed debris on the playground. The director stated this was her first initial inspection for the day and picked up the debris during the visit and discarded it. No children were present outdoors. We also discussed before the infant toddlers come out on the playground pick up and remove any small pieces of mulch or rocks. The director stated she will bring out the blower and blow the area off to ensure no choking hazards are present. One (1) new staff member was hired 2/25/2026. While monitoring the staff members’ file, I observed the TB Screening Questionnaire signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Orientation will begin today 3/2/2026. I reminded the administrator that the first two weeks of orientation are due to be completed by 3/11/2026 and first six weeks are due by 4/8/2026. The staff members First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment are due by 5/26/2026. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age-appropriate activities were provided. Program records were available for review during the visit. We discussed reviewing with the infant room staff that sleep checks must be conducted and documented every fifteen (15) minutes. We also discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Staff member hired 2/25/2026 First Aid and CPR training is due by 5/26/2026. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. During the 1/16/2026 visit, I emailed Monica Houck, Lead Licensing Consultant to schedule the rules review for 2/16/2026. Ms. Houck replied back via email on 1/16/2026 to confirm scheduling of the rules review for 2/16/2026 at 12:30p. Rules review was completed on 2/16/2026. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Ms. Webb stated that she had planned to appeal but since the appeal deadline was 12/31/2025, the action is active as of 1/1/2026. On 1/16/2026, Ms. Webb stated she would schedule a staff meeting within two (2) weeks to review the implementation plan with staff. A staff meeting was scheduled for 1/26/2026, due to inclement weather the meeting was rescheduled for 1/29/2026. The email that was sent on 1/30/2026 documented after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be sent to me. The sign-in sheet and minutes were received. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Space 2, at lunch, one (1) child was served water instead of a fluid milk component. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. Space 1, safe sleep check charts were monitored at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. .0701(a) Technical assistance was provided as follows: Item 501- Space 2, at lunch, one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated the child was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute that the parents provide from home. Rule Reference: 10A NCAC 09 .0901(a) Item 807- Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. We discussed the music needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Rule Reference: 10A NCAC 09.0601(a) Item 871- Space 1, I observed safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. The staff member completed the safe sleep check during the visit. We discussed setting a timer and posting the safe sleep check charts at the cribs as a reminder to document. Rule Reference: 10A NCAC 09.0606(a) Item 1033- Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/16/2026. 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: -We reviewed and discussed the facility operating hours. Ms. Webb confirmed that the facility hours have changed from 7:30a to 5:30p to 8:00a to 5:00p. She is hoping to be able to return to the previous operating hours in the near future. I asked that she notify me prior to the change. -We discussed reviewing the safe sleep policy with the infant room staff, adding a timer to assist with the fifteen (15) minute checks, and moving the safe sleep chart to be posted above the crib or on the side of the crib to be a reminder to complete the chart when checking the children. -ABCMS- Reminder to add new staff member to the employee roster by 3/4/2026. 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 .0606 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/2/2026 Number Present: 31 Completed Date: 3/2/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 10:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on December 1, 2025. 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director and Teresa Webb, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 2/27/2026. East Asheville Academy operates with three-star center license issued on 7/8/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance The indoor and outdoor environments used by the children were monitored. Space #1 the group of infants were napping, exploring the room, and eating. Staff was assisting the child in the highchair while supervising the other children. While monitoring the room, I observed a safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. We discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Space #2 the group of one- to two-year-olds were engaged in free play with books, puzzles, and soft toys. The staff were sitting in the floor engaged in playing with the children. After free play, the children prepared for lunch. At lunch, I observed one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated he was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute. When lunch concluded the group prepared for nap. At nap, the staff used natural lighting and low calming music to assist with resting. Space #3 the group of two- to three-year-olds were engaged in group art activity at the table. After painting the group prepared for lunch. When lunch concluded the group transitioned to their cots and mats for nap. While observing nap we discussed the white noise music was too loud and needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Space #4 the group of four- to five-year-olds were engaged in looking at books and using the restroom. After looking at books the group prepared for lunch. When lunch concluded the group prepared for nap. During nap, the staff used natural lighting and low calming music to assist the children with resting. While monitoring outdoors, I observed debris on the playground. The director stated this was her first initial inspection for the day and picked up the debris during the visit and discarded it. No children were present outdoors. We also discussed before the infant toddlers come out on the playground pick up and remove any small pieces of mulch or rocks. The director stated she will bring out the blower and blow the area off to ensure no choking hazards are present. One (1) new staff member was hired 2/25/2026. While monitoring the staff members’ file, I observed the TB Screening Questionnaire signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Orientation will begin today 3/2/2026. I reminded the administrator that the first two weeks of orientation are due to be completed by 3/11/2026 and first six weeks are due by 4/8/2026. The staff members First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment are due by 5/26/2026. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age-appropriate activities were provided. Program records were available for review during the visit. We discussed reviewing with the infant room staff that sleep checks must be conducted and documented every fifteen (15) minutes. We also discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Staff member hired 2/25/2026 First Aid and CPR training is due by 5/26/2026. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. During the 1/16/2026 visit, I emailed Monica Houck, Lead Licensing Consultant to schedule the rules review for 2/16/2026. Ms. Houck replied back via email on 1/16/2026 to confirm scheduling of the rules review for 2/16/2026 at 12:30p. Rules review was completed on 2/16/2026. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Ms. Webb stated that she had planned to appeal but since the appeal deadline was 12/31/2025, the action is active as of 1/1/2026. On 1/16/2026, Ms. Webb stated she would schedule a staff meeting within two (2) weeks to review the implementation plan with staff. A staff meeting was scheduled for 1/26/2026, due to inclement weather the meeting was rescheduled for 1/29/2026. The email that was sent on 1/30/2026 documented after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be sent to me. The sign-in sheet and minutes were received. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Space 2, at lunch, one (1) child was served water instead of a fluid milk component. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. Space 1, safe sleep check charts were monitored at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. .0701(a) Technical assistance was provided as follows: Item 501- Space 2, at lunch, one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated the child was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute that the parents provide from home. Rule Reference: 10A NCAC 09 .0901(a) Item 807- Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. We discussed the music needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Rule Reference: 10A NCAC 09.0601(a) Item 871- Space 1, I observed safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. The staff member completed the safe sleep check during the visit. We discussed setting a timer and posting the safe sleep check charts at the cribs as a reminder to document. Rule Reference: 10A NCAC 09.0606(a) Item 1033- Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/16/2026. 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: -We reviewed and discussed the facility operating hours. Ms. Webb confirmed that the facility hours have changed from 7:30a to 5:30p to 8:00a to 5:00p. She is hoping to be able to return to the previous operating hours in the near future. I asked that she notify me prior to the change. -We discussed reviewing the safe sleep policy with the infant room staff, adding a timer to assist with the fifteen (15) minute checks, and moving the safe sleep chart to be posted above the crib or on the side of the crib to be a reminder to complete the chart when checking the children. -ABCMS- Reminder to add new staff member to the employee roster by 3/4/2026. 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 09.0601 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/2/2026 Number Present: 31 Completed Date: 3/2/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 10:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on December 1, 2025. 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director and Teresa Webb, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 2/27/2026. East Asheville Academy operates with three-star center license issued on 7/8/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance The indoor and outdoor environments used by the children were monitored. Space #1 the group of infants were napping, exploring the room, and eating. Staff was assisting the child in the highchair while supervising the other children. While monitoring the room, I observed a safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. We discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Space #2 the group of one- to two-year-olds were engaged in free play with books, puzzles, and soft toys. The staff were sitting in the floor engaged in playing with the children. After free play, the children prepared for lunch. At lunch, I observed one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated he was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute. When lunch concluded the group prepared for nap. At nap, the staff used natural lighting and low calming music to assist with resting. Space #3 the group of two- to three-year-olds were engaged in group art activity at the table. After painting the group prepared for lunch. When lunch concluded the group transitioned to their cots and mats for nap. While observing nap we discussed the white noise music was too loud and needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Space #4 the group of four- to five-year-olds were engaged in looking at books and using the restroom. After looking at books the group prepared for lunch. When lunch concluded the group prepared for nap. During nap, the staff used natural lighting and low calming music to assist the children with resting. While monitoring outdoors, I observed debris on the playground. The director stated this was her first initial inspection for the day and picked up the debris during the visit and discarded it. No children were present outdoors. We also discussed before the infant toddlers come out on the playground pick up and remove any small pieces of mulch or rocks. The director stated she will bring out the blower and blow the area off to ensure no choking hazards are present. One (1) new staff member was hired 2/25/2026. While monitoring the staff members’ file, I observed the TB Screening Questionnaire signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Orientation will begin today 3/2/2026. I reminded the administrator that the first two weeks of orientation are due to be completed by 3/11/2026 and first six weeks are due by 4/8/2026. The staff members First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment are due by 5/26/2026. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age-appropriate activities were provided. Program records were available for review during the visit. We discussed reviewing with the infant room staff that sleep checks must be conducted and documented every fifteen (15) minutes. We also discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Staff member hired 2/25/2026 First Aid and CPR training is due by 5/26/2026. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. During the 1/16/2026 visit, I emailed Monica Houck, Lead Licensing Consultant to schedule the rules review for 2/16/2026. Ms. Houck replied back via email on 1/16/2026 to confirm scheduling of the rules review for 2/16/2026 at 12:30p. Rules review was completed on 2/16/2026. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Ms. Webb stated that she had planned to appeal but since the appeal deadline was 12/31/2025, the action is active as of 1/1/2026. On 1/16/2026, Ms. Webb stated she would schedule a staff meeting within two (2) weeks to review the implementation plan with staff. A staff meeting was scheduled for 1/26/2026, due to inclement weather the meeting was rescheduled for 1/29/2026. The email that was sent on 1/30/2026 documented after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be sent to me. The sign-in sheet and minutes were received. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Space 2, at lunch, one (1) child was served water instead of a fluid milk component. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. Space 1, safe sleep check charts were monitored at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. .0701(a) Technical assistance was provided as follows: Item 501- Space 2, at lunch, one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated the child was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute that the parents provide from home. Rule Reference: 10A NCAC 09 .0901(a) Item 807- Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. We discussed the music needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Rule Reference: 10A NCAC 09.0601(a) Item 871- Space 1, I observed safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. The staff member completed the safe sleep check during the visit. We discussed setting a timer and posting the safe sleep check charts at the cribs as a reminder to document. Rule Reference: 10A NCAC 09.0606(a) Item 1033- Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/16/2026. 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: -We reviewed and discussed the facility operating hours. Ms. Webb confirmed that the facility hours have changed from 7:30a to 5:30p to 8:00a to 5:00p. She is hoping to be able to return to the previous operating hours in the near future. I asked that she notify me prior to the change. -We discussed reviewing the safe sleep policy with the infant room staff, adding a timer to assist with the fifteen (15) minute checks, and moving the safe sleep chart to be posted above the crib or on the side of the crib to be a reminder to complete the chart when checking the children. -ABCMS- Reminder to add new staff member to the employee roster by 3/4/2026. 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 09.0606 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/2/2026 Number Present: 31 Completed Date: 3/2/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 10:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on December 1, 2025. 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director and Teresa Webb, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 2/27/2026. East Asheville Academy operates with three-star center license issued on 7/8/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance The indoor and outdoor environments used by the children were monitored. Space #1 the group of infants were napping, exploring the room, and eating. Staff was assisting the child in the highchair while supervising the other children. While monitoring the room, I observed a safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. We discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Space #2 the group of one- to two-year-olds were engaged in free play with books, puzzles, and soft toys. The staff were sitting in the floor engaged in playing with the children. After free play, the children prepared for lunch. At lunch, I observed one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated he was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute. When lunch concluded the group prepared for nap. At nap, the staff used natural lighting and low calming music to assist with resting. Space #3 the group of two- to three-year-olds were engaged in group art activity at the table. After painting the group prepared for lunch. When lunch concluded the group transitioned to their cots and mats for nap. While observing nap we discussed the white noise music was too loud and needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Space #4 the group of four- to five-year-olds were engaged in looking at books and using the restroom. After looking at books the group prepared for lunch. When lunch concluded the group prepared for nap. During nap, the staff used natural lighting and low calming music to assist the children with resting. While monitoring outdoors, I observed debris on the playground. The director stated this was her first initial inspection for the day and picked up the debris during the visit and discarded it. No children were present outdoors. We also discussed before the infant toddlers come out on the playground pick up and remove any small pieces of mulch or rocks. The director stated she will bring out the blower and blow the area off to ensure no choking hazards are present. One (1) new staff member was hired 2/25/2026. While monitoring the staff members’ file, I observed the TB Screening Questionnaire signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Orientation will begin today 3/2/2026. I reminded the administrator that the first two weeks of orientation are due to be completed by 3/11/2026 and first six weeks are due by 4/8/2026. The staff members First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment are due by 5/26/2026. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age-appropriate activities were provided. Program records were available for review during the visit. We discussed reviewing with the infant room staff that sleep checks must be conducted and documented every fifteen (15) minutes. We also discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Staff member hired 2/25/2026 First Aid and CPR training is due by 5/26/2026. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. During the 1/16/2026 visit, I emailed Monica Houck, Lead Licensing Consultant to schedule the rules review for 2/16/2026. Ms. Houck replied back via email on 1/16/2026 to confirm scheduling of the rules review for 2/16/2026 at 12:30p. Rules review was completed on 2/16/2026. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Ms. Webb stated that she had planned to appeal but since the appeal deadline was 12/31/2025, the action is active as of 1/1/2026. On 1/16/2026, Ms. Webb stated she would schedule a staff meeting within two (2) weeks to review the implementation plan with staff. A staff meeting was scheduled for 1/26/2026, due to inclement weather the meeting was rescheduled for 1/29/2026. The email that was sent on 1/30/2026 documented after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be sent to me. The sign-in sheet and minutes were received. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Space 2, at lunch, one (1) child was served water instead of a fluid milk component. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. Space 1, safe sleep check charts were monitored at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. .0701(a) Technical assistance was provided as follows: Item 501- Space 2, at lunch, one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated the child was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute that the parents provide from home. Rule Reference: 10A NCAC 09 .0901(a) Item 807- Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. We discussed the music needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Rule Reference: 10A NCAC 09.0601(a) Item 871- Space 1, I observed safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. The staff member completed the safe sleep check during the visit. We discussed setting a timer and posting the safe sleep check charts at the cribs as a reminder to document. Rule Reference: 10A NCAC 09.0606(a) Item 1033- Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/16/2026. 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: -We reviewed and discussed the facility operating hours. Ms. Webb confirmed that the facility hours have changed from 7:30a to 5:30p to 8:00a to 5:00p. She is hoping to be able to return to the previous operating hours in the near future. I asked that she notify me prior to the change. -We discussed reviewing the safe sleep policy with the infant room staff, adding a timer to assist with the fifteen (15) minute checks, and moving the safe sleep chart to be posted above the crib or on the side of the crib to be a reminder to complete the chart when checking the children. -ABCMS- Reminder to add new staff member to the employee roster by 3/4/2026. 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 09.0701 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/2/2026 Number Present: 31 Completed Date: 3/2/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 10:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on December 1, 2025. 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director and Teresa Webb, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 2/27/2026. East Asheville Academy operates with three-star center license issued on 7/8/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance The indoor and outdoor environments used by the children were monitored. Space #1 the group of infants were napping, exploring the room, and eating. Staff was assisting the child in the highchair while supervising the other children. While monitoring the room, I observed a safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. We discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Space #2 the group of one- to two-year-olds were engaged in free play with books, puzzles, and soft toys. The staff were sitting in the floor engaged in playing with the children. After free play, the children prepared for lunch. At lunch, I observed one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated he was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute. When lunch concluded the group prepared for nap. At nap, the staff used natural lighting and low calming music to assist with resting. Space #3 the group of two- to three-year-olds were engaged in group art activity at the table. After painting the group prepared for lunch. When lunch concluded the group transitioned to their cots and mats for nap. While observing nap we discussed the white noise music was too loud and needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Space #4 the group of four- to five-year-olds were engaged in looking at books and using the restroom. After looking at books the group prepared for lunch. When lunch concluded the group prepared for nap. During nap, the staff used natural lighting and low calming music to assist the children with resting. While monitoring outdoors, I observed debris on the playground. The director stated this was her first initial inspection for the day and picked up the debris during the visit and discarded it. No children were present outdoors. We also discussed before the infant toddlers come out on the playground pick up and remove any small pieces of mulch or rocks. The director stated she will bring out the blower and blow the area off to ensure no choking hazards are present. One (1) new staff member was hired 2/25/2026. While monitoring the staff members’ file, I observed the TB Screening Questionnaire signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Orientation will begin today 3/2/2026. I reminded the administrator that the first two weeks of orientation are due to be completed by 3/11/2026 and first six weeks are due by 4/8/2026. The staff members First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment are due by 5/26/2026. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age-appropriate activities were provided. Program records were available for review during the visit. We discussed reviewing with the infant room staff that sleep checks must be conducted and documented every fifteen (15) minutes. We also discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Staff member hired 2/25/2026 First Aid and CPR training is due by 5/26/2026. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. During the 1/16/2026 visit, I emailed Monica Houck, Lead Licensing Consultant to schedule the rules review for 2/16/2026. Ms. Houck replied back via email on 1/16/2026 to confirm scheduling of the rules review for 2/16/2026 at 12:30p. Rules review was completed on 2/16/2026. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Ms. Webb stated that she had planned to appeal but since the appeal deadline was 12/31/2025, the action is active as of 1/1/2026. On 1/16/2026, Ms. Webb stated she would schedule a staff meeting within two (2) weeks to review the implementation plan with staff. A staff meeting was scheduled for 1/26/2026, due to inclement weather the meeting was rescheduled for 1/29/2026. The email that was sent on 1/30/2026 documented after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be sent to me. The sign-in sheet and minutes were received. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Space 2, at lunch, one (1) child was served water instead of a fluid milk component. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. Space 1, safe sleep check charts were monitored at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. .0701(a) Technical assistance was provided as follows: Item 501- Space 2, at lunch, one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated the child was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute that the parents provide from home. Rule Reference: 10A NCAC 09 .0901(a) Item 807- Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. We discussed the music needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Rule Reference: 10A NCAC 09.0601(a) Item 871- Space 1, I observed safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. The staff member completed the safe sleep check during the visit. We discussed setting a timer and posting the safe sleep check charts at the cribs as a reminder to document. Rule Reference: 10A NCAC 09.0606(a) Item 1033- Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/16/2026. 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: -We reviewed and discussed the facility operating hours. Ms. Webb confirmed that the facility hours have changed from 7:30a to 5:30p to 8:00a to 5:00p. She is hoping to be able to return to the previous operating hours in the near future. I asked that she notify me prior to the change. -We discussed reviewing the safe sleep policy with the infant room staff, adding a timer to assist with the fifteen (15) minute checks, and moving the safe sleep chart to be posted above the crib or on the side of the crib to be a reminder to complete the chart when checking the children. -ABCMS- Reminder to add new staff member to the employee roster by 3/4/2026. 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

NC GS 110-90 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/2/2026 Number Present: 31 Completed Date: 3/2/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 10:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on December 1, 2025. 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director and Teresa Webb, Administrator, assisted me today. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 2/27/2026. East Asheville Academy operates with three-star center license issued on 7/8/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance The indoor and outdoor environments used by the children were monitored. Space #1 the group of infants were napping, exploring the room, and eating. Staff was assisting the child in the highchair while supervising the other children. While monitoring the room, I observed a safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. We discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Space #2 the group of one- to two-year-olds were engaged in free play with books, puzzles, and soft toys. The staff were sitting in the floor engaged in playing with the children. After free play, the children prepared for lunch. At lunch, I observed one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated he was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute. When lunch concluded the group prepared for nap. At nap, the staff used natural lighting and low calming music to assist with resting. Space #3 the group of two- to three-year-olds were engaged in group art activity at the table. After painting the group prepared for lunch. When lunch concluded the group transitioned to their cots and mats for nap. While observing nap we discussed the white noise music was too loud and needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Space #4 the group of four- to five-year-olds were engaged in looking at books and using the restroom. After looking at books the group prepared for lunch. When lunch concluded the group prepared for nap. During nap, the staff used natural lighting and low calming music to assist the children with resting. While monitoring outdoors, I observed debris on the playground. The director stated this was her first initial inspection for the day and picked up the debris during the visit and discarded it. No children were present outdoors. We also discussed before the infant toddlers come out on the playground pick up and remove any small pieces of mulch or rocks. The director stated she will bring out the blower and blow the area off to ensure no choking hazards are present. One (1) new staff member was hired 2/25/2026. While monitoring the staff members’ file, I observed the TB Screening Questionnaire signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Orientation will begin today 3/2/2026. I reminded the administrator that the first two weeks of orientation are due to be completed by 3/11/2026 and first six weeks are due by 4/8/2026. The staff members First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment are due by 5/26/2026. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age-appropriate activities were provided. Program records were available for review during the visit. We discussed reviewing with the infant room staff that sleep checks must be conducted and documented every fifteen (15) minutes. We also discussed setting a timer, and posting the safe sleep check charts at the cribs as a reminder to document. Staff member hired 2/25/2026 First Aid and CPR training is due by 5/26/2026. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. During the 1/16/2026 visit, I emailed Monica Houck, Lead Licensing Consultant to schedule the rules review for 2/16/2026. Ms. Houck replied back via email on 1/16/2026 to confirm scheduling of the rules review for 2/16/2026 at 12:30p. Rules review was completed on 2/16/2026. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Ms. Webb stated that she had planned to appeal but since the appeal deadline was 12/31/2025, the action is active as of 1/1/2026. On 1/16/2026, Ms. Webb stated she would schedule a staff meeting within two (2) weeks to review the implementation plan with staff. A staff meeting was scheduled for 1/26/2026, due to inclement weather the meeting was rescheduled for 1/29/2026. The email that was sent on 1/30/2026 documented after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be sent to me. The sign-in sheet and minutes were received. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Space 2, at lunch, one (1) child was served water instead of a fluid milk component. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. Space 1, safe sleep check charts were monitored at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. .0701(a) Technical assistance was provided as follows: Item 501- Space 2, at lunch, one (1) child was served water instead of a fluid milk component. When asked the staff the staff stated the child was lactose intolerant. We discussed that the child must have a milk substitute. The cook took his water cup and provided a milk substitute that the parents provide from home. Rule Reference: 10A NCAC 09 .0901(a) Item 807- Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing. We discussed the music needed to be turned down in order to be able to hear any changes in the children’s breathing. The staff turned down the music during the visit. Rule Reference: 10A NCAC 09.0601(a) Item 871- Space 1, I observed safe sleep check charts at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a. The staff member completed the safe sleep check during the visit. We discussed setting a timer and posting the safe sleep check charts at the cribs as a reminder to document. Rule Reference: 10A NCAC 09.0606(a) Item 1033- Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered. We discussed when a new staff member is hired to review the medical documents to ensure the doctor and staff member have fully completed the required forms. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/16/2026. 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: -We reviewed and discussed the facility operating hours. Ms. Webb confirmed that the facility hours have changed from 7:30a to 5:30p to 8:00a to 5:00p. She is hoping to be able to return to the previous operating hours in the near future. I asked that she notify me prior to the change. -We discussed reviewing the safe sleep policy with the infant room staff, adding a timer to assist with the fifteen (15) minute checks, and moving the safe sleep chart to be posted above the crib or on the side of the crib to be a reminder to complete the chart when checking the children. -ABCMS- Reminder to add new staff member to the employee roster by 3/4/2026. 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 .0302 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 27 Completed Date: 1/16/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on December 1, 2025. 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 Alicia Davis, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Center Director, was available during the visit. Teresa Webb, Administrator, was available by phone. She was not on-site today due to a family emergency. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/15/2026. East Asheville Academy operates with three-star center license issued on 7/22/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1 the one (1) infant present was being held by the caregiver. While reviewing the safe sleep checks, I noticed that the child present was present on Monday, January 12th but the last documented sleep check was on January 7, 2026. When asked the staff member stated that she had completed the checks and would need to locate the documented sleep checks. The staff member was able to locate the safe sleep checks during the visit. I also reviewed the sign-in/out sheets to verify what children were present for the week to verify sleep checks were completed. Sign-in/out sheets for the week of December 29-31, 2025, was not available for review. Space #2 the group of one- to two-year-old children were engaged in free play with baby dolls, trucks, and puzzles. The staff supervised the children and began a group reading of a book. Space #3, the group of two-to-three-year-old children were engaged in free play with the dramatic play and pretend foods, magnetic tiles, and Mr. Potato heads. While monitoring classroom and program records, I observed sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026 Space#4 the group of three- to- five-year-old children were engaged in group time and having a discussion about bears and hibernation. While monitoring classroom and program records, I observed sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. When asked the staff member was not aware of where the previous sign-in sheets were located. Lunch consisted of chicken nuggets, mixed vegetables, pineapple, and milk. The menu was updated to reflect the substitutions prior to serving the children. Outside was monitored and discussed ensuring the back gate on the preschool playground is closed and latched prior to children coming out. Due to the low temperatures the staff have adjusted the daily schedule to where the children go outside after nap. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Webb was cooperative and receptive throughout the conversation. She stated that she was undecided as to whether or not she would appeal the action. The deadline to appeal was December 31, 2025. Ms. Webb and I spoke via phone conversation during the visit today. She stated that she did not receive and email that was sent on December 30, 2025. We discussed whether or not she had appealed. She stated that she had not completed the appeal process. I reiterated the appeal deadline was December 31, 2025, so as January 1, 2026, the written warning is active and all steps are expected to be completed. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age appropriate activities were provided. Some program records (sign-in/out sheets) were unable to be reviewed during the visit. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Currently Ms. Webb stated that she had planned to appeal but since the appeal deadline has passed, and the action is active now. She will schedule a staff meeting within two (2) weeks to review the implementation plan with staff. We discussed after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be send to me. 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #1, daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and were not available for review. The last sign-in/out sheet on file was dated 12/15-12/19/2025. The December 29-31, 2025 sign-in/out sheets was not on file for review. Space #4, sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. Space #3, sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026. 10A NCAC 09 .0302(d)(4) Technical assistance was provided as follows: Item 125- Space #1, daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and were not available for review. The last sign-in/out sheet on file was dated 12/15-12/19/2025. The December 29-31, 2025 sign-in/out sheets was not on file for review. Space #4, sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. Space #3, sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026. When asked, the director was unable to locate the sheets. The director stated that she knew they were completed and she had them in a stack to add to the notebook but does not know where they are. We discussed at the end of each week having staff bring the completed sign-in/out sheet to the director to add to the notebook. Rule Reference: 10A NCAC 09 .0302(d)(4) 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 1/30/2026. 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: - When sign-in/out sheets are completed for the week, have staff take them to the director to file in the sign-in/out notebook for review. Then prepare the next sign-in/out sheet for next week. 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 27 Completed Date: 1/16/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on December 1, 2025. 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 Alicia Davis, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Center Director, was available during the visit. Teresa Webb, Administrator, was available by phone. She was not on-site today due to a family emergency. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/15/2026. East Asheville Academy operates with three-star center license issued on 7/22/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1 the one (1) infant present was being held by the caregiver. While reviewing the safe sleep checks, I noticed that the child present was present on Monday, January 12th but the last documented sleep check was on January 7, 2026. When asked the staff member stated that she had completed the checks and would need to locate the documented sleep checks. The staff member was able to locate the safe sleep checks during the visit. I also reviewed the sign-in/out sheets to verify what children were present for the week to verify sleep checks were completed. Sign-in/out sheets for the week of December 29-31, 2025, was not available for review. Space #2 the group of one- to two-year-old children were engaged in free play with baby dolls, trucks, and puzzles. The staff supervised the children and began a group reading of a book. Space #3, the group of two-to-three-year-old children were engaged in free play with the dramatic play and pretend foods, magnetic tiles, and Mr. Potato heads. While monitoring classroom and program records, I observed sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026 Space#4 the group of three- to- five-year-old children were engaged in group time and having a discussion about bears and hibernation. While monitoring classroom and program records, I observed sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. When asked the staff member was not aware of where the previous sign-in sheets were located. Lunch consisted of chicken nuggets, mixed vegetables, pineapple, and milk. The menu was updated to reflect the substitutions prior to serving the children. Outside was monitored and discussed ensuring the back gate on the preschool playground is closed and latched prior to children coming out. Due to the low temperatures the staff have adjusted the daily schedule to where the children go outside after nap. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Webb was cooperative and receptive throughout the conversation. She stated that she was undecided as to whether or not she would appeal the action. The deadline to appeal was December 31, 2025. Ms. Webb and I spoke via phone conversation during the visit today. She stated that she did not receive and email that was sent on December 30, 2025. We discussed whether or not she had appealed. She stated that she had not completed the appeal process. I reiterated the appeal deadline was December 31, 2025, so as January 1, 2026, the written warning is active and all steps are expected to be completed. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age appropriate activities were provided. Some program records (sign-in/out sheets) were unable to be reviewed during the visit. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Currently Ms. Webb stated that she had planned to appeal but since the appeal deadline has passed, and the action is active now. She will schedule a staff meeting within two (2) weeks to review the implementation plan with staff. We discussed after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be send to me. 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #1, daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and were not available for review. The last sign-in/out sheet on file was dated 12/15-12/19/2025. The December 29-31, 2025 sign-in/out sheets was not on file for review. Space #4, sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. Space #3, sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026. 10A NCAC 09 .0302(d)(4) Technical assistance was provided as follows: Item 125- Space #1, daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and were not available for review. The last sign-in/out sheet on file was dated 12/15-12/19/2025. The December 29-31, 2025 sign-in/out sheets was not on file for review. Space #4, sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. Space #3, sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026. When asked, the director was unable to locate the sheets. The director stated that she knew they were completed and she had them in a stack to add to the notebook but does not know where they are. We discussed at the end of each week having staff bring the completed sign-in/out sheet to the director to add to the notebook. Rule Reference: 10A NCAC 09 .0302(d)(4) 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 1/30/2026. 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: - When sign-in/out sheets are completed for the week, have staff take them to the director to file in the sign-in/out notebook for review. Then prepare the next sign-in/out sheet for next week. 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 27 Completed Date: 1/16/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on December 1, 2025. 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 Alicia Davis, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Center Director, was available during the visit. Teresa Webb, Administrator, was available by phone. She was not on-site today due to a family emergency. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/15/2026. East Asheville Academy operates with three-star center license issued on 7/22/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1 the one (1) infant present was being held by the caregiver. While reviewing the safe sleep checks, I noticed that the child present was present on Monday, January 12th but the last documented sleep check was on January 7, 2026. When asked the staff member stated that she had completed the checks and would need to locate the documented sleep checks. The staff member was able to locate the safe sleep checks during the visit. I also reviewed the sign-in/out sheets to verify what children were present for the week to verify sleep checks were completed. Sign-in/out sheets for the week of December 29-31, 2025, was not available for review. Space #2 the group of one- to two-year-old children were engaged in free play with baby dolls, trucks, and puzzles. The staff supervised the children and began a group reading of a book. Space #3, the group of two-to-three-year-old children were engaged in free play with the dramatic play and pretend foods, magnetic tiles, and Mr. Potato heads. While monitoring classroom and program records, I observed sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026 Space#4 the group of three- to- five-year-old children were engaged in group time and having a discussion about bears and hibernation. While monitoring classroom and program records, I observed sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. When asked the staff member was not aware of where the previous sign-in sheets were located. Lunch consisted of chicken nuggets, mixed vegetables, pineapple, and milk. The menu was updated to reflect the substitutions prior to serving the children. Outside was monitored and discussed ensuring the back gate on the preschool playground is closed and latched prior to children coming out. Due to the low temperatures the staff have adjusted the daily schedule to where the children go outside after nap. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Webb was cooperative and receptive throughout the conversation. She stated that she was undecided as to whether or not she would appeal the action. The deadline to appeal was December 31, 2025. Ms. Webb and I spoke via phone conversation during the visit today. She stated that she did not receive and email that was sent on December 30, 2025. We discussed whether or not she had appealed. She stated that she had not completed the appeal process. I reiterated the appeal deadline was December 31, 2025, so as January 1, 2026, the written warning is active and all steps are expected to be completed. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age appropriate activities were provided. Some program records (sign-in/out sheets) were unable to be reviewed during the visit. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Currently Ms. Webb stated that she had planned to appeal but since the appeal deadline has passed, and the action is active now. She will schedule a staff meeting within two (2) weeks to review the implementation plan with staff. We discussed after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be send to me. 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #1, daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and were not available for review. The last sign-in/out sheet on file was dated 12/15-12/19/2025. The December 29-31, 2025 sign-in/out sheets was not on file for review. Space #4, sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. Space #3, sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026. 10A NCAC 09 .0302(d)(4) Technical assistance was provided as follows: Item 125- Space #1, daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and were not available for review. The last sign-in/out sheet on file was dated 12/15-12/19/2025. The December 29-31, 2025 sign-in/out sheets was not on file for review. Space #4, sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. Space #3, sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026. When asked, the director was unable to locate the sheets. The director stated that she knew they were completed and she had them in a stack to add to the notebook but does not know where they are. We discussed at the end of each week having staff bring the completed sign-in/out sheet to the director to add to the notebook. Rule Reference: 10A NCAC 09 .0302(d)(4) 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 1/30/2026. 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: - When sign-in/out sheets are completed for the week, have staff take them to the director to file in the sign-in/out notebook for review. Then prepare the next sign-in/out sheet for next week. 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 27 Completed Date: 1/16/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning issued by the DCDEE to this facility on December 1, 2025. 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 Alicia Davis, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Center Director, was available during the visit. Teresa Webb, Administrator, was available by phone. She was not on-site today due to a family emergency. Limited monitoring of Child Care Rules were conducted during today’s visit, including but not limited to supervision, discipline, nurture and care, staff/child ratio, group size, licensed capacity, permit restrictions, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/15/2026. East Asheville Academy operates with three-star center license issued on 7/22/2020 with restriction; first shift, meets enhanced ratios. Administrative Action was issued on December 1, 2025, for non-compliance. The indoor and outdoor environments used by the children were monitored. Space #1 the one (1) infant present was being held by the caregiver. While reviewing the safe sleep checks, I noticed that the child present was present on Monday, January 12th but the last documented sleep check was on January 7, 2026. When asked the staff member stated that she had completed the checks and would need to locate the documented sleep checks. The staff member was able to locate the safe sleep checks during the visit. I also reviewed the sign-in/out sheets to verify what children were present for the week to verify sleep checks were completed. Sign-in/out sheets for the week of December 29-31, 2025, was not available for review. Space #2 the group of one- to two-year-old children were engaged in free play with baby dolls, trucks, and puzzles. The staff supervised the children and began a group reading of a book. Space #3, the group of two-to-three-year-old children were engaged in free play with the dramatic play and pretend foods, magnetic tiles, and Mr. Potato heads. While monitoring classroom and program records, I observed sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026 Space#4 the group of three- to- five-year-old children were engaged in group time and having a discussion about bears and hibernation. While monitoring classroom and program records, I observed sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. When asked the staff member was not aware of where the previous sign-in sheets were located. Lunch consisted of chicken nuggets, mixed vegetables, pineapple, and milk. The menu was updated to reflect the substitutions prior to serving the children. Outside was monitored and discussed ensuring the back gate on the preschool playground is closed and latched prior to children coming out. Due to the low temperatures the staff have adjusted the daily schedule to where the children go outside after nap. An initial administrative action review was conducted by phone on December 10, 2025, with Teresa Webb, Administrator. During the call, the administrative action written warning and the Corrective Action Plan were discussed in detail. Topics included the requirements for posting the action and that unannounced follow-up visits, would occur every 4–6 weeks. Ms. Webb was cooperative and receptive throughout the conversation. She stated that she was undecided as to whether or not she would appeal the action. The deadline to appeal was December 31, 2025. Ms. Webb and I spoke via phone conversation during the visit today. She stated that she did not receive and email that was sent on December 30, 2025. We discussed whether or not she had appealed. She stated that she had not completed the appeal process. I reiterated the appeal deadline was December 31, 2025, so as January 1, 2026, the written warning is active and all steps are expected to be completed. The administrative action is currently posted with the safe arrival and departure procedure to the left as you enter the facilities main entrance. The following stipulations of the administrative action were monitored: Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements. Medications were monitored and were in compliance. Safe indoor and outdoor environments were provided. First and CPR certification was on file and current for staff currently employed. Age appropriate activities were provided. Some program records (sign-in/out sheets) were unable to be reviewed during the visit. Stipulation #2: Within one (1) week after this Notice is received, Teresa Webb, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email Monica.Houck@dhhs.nc.gov, to arrange for a complete review of all child care requirements. Ms. Webb reached out to Monica Houck, Lead Licensing Consultant on 12/16/2025 via email to inquire about the arrangements for the rules review. Ms. Webb stated that she was unsure if she was going to appeal the action. Ms. Houck followed up on 12/17/2025 to schedule the rules review. Ms. Houck followed up on 12/30/2025 after made aware that Ms. Webb had not received the 12/17/2025 email. Ms. Webb replied back on 12/30/2025 stating she would like to appeal. Ms. Houck followed up on 12/30/2025 if she would like to appeal the directions to appeal were located on the last page of the administrative action. Stipulation #3: Within two (2) weeks after this Notice is received, Ms. Webb shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to administering medication, general safety, in-service training, and staff files. Ms. Webb submitted the implementation plan on 12/29/2025 via email. I have reviewed the implementation plan and responded for revisions to be made on 12/29/2025. Ms. Webb resubmitted the revised implementation plan via email on 12/30/2025. The plan was reviewed and approved. Stipulation #4: Within two (2) weeks after notification from the Division that the stipulation has been met with the plan related to records, Ms. Webb shall conduct a staff meeting with all staff members to discuss the plan. The finalized implementation plan was approved on 12/30/2025. Ms. Webb has two (2) weeks to conduct a staff meeting to discuss the plan. Currently Ms. Webb stated that she had planned to appeal but since the appeal deadline has passed, and the action is active now. She will schedule a staff meeting within two (2) weeks to review the implementation plan with staff. We discussed after the meeting is conducted, the staff sign-in sheet and minutes from the meeting will need to be send to me. 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Space #1, daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and were not available for review. The last sign-in/out sheet on file was dated 12/15-12/19/2025. The December 29-31, 2025 sign-in/out sheets was not on file for review. Space #4, sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. Space #3, sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026. 10A NCAC 09 .0302(d)(4) Technical assistance was provided as follows: Item 125- Space #1, daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and were not available for review. The last sign-in/out sheet on file was dated 12/15-12/19/2025. The December 29-31, 2025 sign-in/out sheets was not on file for review. Space #4, sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. Space #3, sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026. When asked, the director was unable to locate the sheets. The director stated that she knew they were completed and she had them in a stack to add to the notebook but does not know where they are. We discussed at the end of each week having staff bring the completed sign-in/out sheet to the director to add to the notebook. Rule Reference: 10A NCAC 09 .0302(d)(4) 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 1/30/2026. 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: - When sign-in/out sheets are completed for the week, have staff take them to the director to file in the sign-in/out notebook for review. Then prepare the next sign-in/out sheet for next week. 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 .0901 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 .0604 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 .0901 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 09.0901 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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. 110-91 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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

GS 110-91 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 30 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow up 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 Teresa Webb, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, and Teresa Webb, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, discipline, nurture, and care of children, staff/child ratios, group size, licensed capacity, permit restrictions, CPR, First Aid, ITS-SIDS, and criminal record check. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent (77%) as of 12/4/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, is current/active as of 12/8/2025. Permit type – Three Star License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 10/29/2025. The last fire drill was practiced on 11/17/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 11/7/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Teresa Webb, Administrator. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were eating and the staff member was meeting the individual needs of a child. During nap time, the staff member sat close near the child that was sleeping and one (1) child was awake playing in the floor with toys. In space # 2, the group of one- and two-year-old children were engaged in free play. After free play, the group prepared for lunch. During nap time, the staff sat near the children. In space # 3, the group of two- to three-year-old children were singing at the table while they waited for lunch to be served. Lunch was served at 11:39a. During nap time, the staff assist the children with calming down to rest with calming music, natural lighting, and rubbing their backs as needed. In space # 4, the group of four and five-year-old children were eating lunch at the table. While monitoring, I observed two (2) electrical outlets uncovered near the restroom. When asked the staff member stated that she had safety outlet covers to cover them. During the visit, Ms. Davis covered the outlets. Current activity plan was not posted for staff to reference. The lesson plans posted was dated 12/1/2025 through 12/5/2025. During nap time, the staff moved about the classroom to supervise the children. Menu posted documented December 1-5 meals and snacks, but items for December 8-31 was blank. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed that the meals and snacks can be preplan weekly. Then if the pickup order has substitutions, the menu can be adjusted by writing the substituted item in where the item was substituted in the pickup order. The director completed the menu for the rest of the week and posted it during the visit. She stated she was currently working on the next weeks menu. Limited staff file monitoring was conducted. We reviewed the mailing address for the facility and the administrator stated that the mail is being stolen and there is nowhere else for the mailboxes to be placed. She stated that the mailing address needs to be changed to her home address. During the visit we changed the mailing address to: 4 Robert Williams Road, Fairview, NC 28730. 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 428 A current activity plan was not posted for each group of children for reference. In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menu posted was blank for the week of 12/8/2025-12/12/2025. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4, there were two (2) uncovered electrical outlets near the restroom. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 428- In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025. When asked the teacher stated she thought she had posted it. The Director printed and posted the current activity plan for review. We discussed printing the activity plans on Fridays and posting them prior to leaving for the day on Fridays. Rule Reference: G.S. 110-91(12);.0508(a) Item 525- Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank. The Director updated the menu and posted it during the visit. When asked the administrator stated that she had a pickup order on the way here and several items had been substituted. She didn’t get it written in when she arrived at the facility. We discussed you can preplan the weeks meals and snack. Then if the pickup order has substitutions, you can make adjustments to the preplanned menu by writing the substituted item in where the item was substituted in the pick up order. Rule Reference: 10A NCAC 09.0901(b) Item 526- Current menu posted was blank for the week of 12/8/2025-12/12/2025. The Director printed and posted a copy of the updated menu during the visit. We discussed printing the updated menu on Fridays prior to leaving for the weekend. Rule Reference: 10A NCAC 09.0901(b) Item 812- In space 4, there were two (2) uncovered electrical outlets near the restroom. The Director covered the electrical outlets during the visit. We discussed having a box of extra plugs in each classroom. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -We reviewed the meal components and when parents requested that only water be served to the children, we discussed that the children must be offered a milk component. Giving the child the option to drink milk. If the child has a milk sensitivity, the facility will need to have a plan in place and provide a alternative to milk. -Continue to maintain the ABCMS portal to ensure the staff roster is current. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 .0604 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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 .0514 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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 .0604 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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. 110-91 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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

GS 110-91 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 28 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an annual compliance follow-up visit to verify compliance of violations documented during an annual compliance visit conducted on October 16, 2025. 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 Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director was available during the visit. We discussed the violations documented on October 16, 2025, that may have or have not been corrected as of today ’s visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The violations documented on October 16, 2025, were monitored and discussed as follows: Item 410- Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. This is a violation of a requirement in GS 110-91(2);.0508(c). Space #3 was observed going outside during the visit. Space #1, #2, and #4 were not observed going outside due to the rain and the cold temperatures. The administrator stated that the staff will take the children out this afternoon if they are able. If not, staff will provide indoor gross motor play. Item 415- A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. This is a violation of a requirement in GS 110-91(12);.0508(a) Daily schedules were observed posted in each classroom. Item 524- When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. This is a violation of a requirement in .0510(d)(2)(A-C) No screen time was observed during the visit. The facility has reiterated the “No tablet policy.” Walk throughs will be conducted for four (4) weeks and then monthly there after to ensure no screen time is being used. We discussed if screen time is used, the children can only be allowed thirty (30) minutes of screen time daily and children under three years old screen time is prohibited. Item 614- Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. This is a violation of a requirement in 15A NCAC 18A .2821(e). Mat/cot placement was measured, and all cots are placed at least eighteen (18) inches apart. Item 717- Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. This is a violation of a requirement in .0605(l)(1-2). During today’s visit, I observed the large portable safety-first climber has been moved to ensure six (6) feet fall zone is met around the climbing structure. We discussed continuing to monitor the fall zone to ensure a six (6) feet fall zone is maintained. Item 721- All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. This is a violation of a requirement in G.S. 110-91(6); .0601(b) Gate latch was in the process of being replaced during the visit at 12:30p by Stand by Services. The company was still working on replacing the gate latch when I left. The administrator will need to revise the letter and follow up with me once the latch has been replaced. Item 807- A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. This is a violation of a requirement in 10A NCAC 09 .0601(a) While monitoring space 3, I observed the two (2) large rectangle tables sitting on all four (4) legs. Outdoor space #2, has been reopened and ramp repairs were completed on October 27, 2025. Adult tools have been removed and no longer accessible to children. Outdoor space #3, the deteriorating wooden privacy board panels the administrator stated that the plan is to have the maintenance team to replace those boards this afternoon. If the maintenance team is unable to replace the boards, she plans to use caution tape to mark off the area and have a staff member stationed in that area to ensure children are not playing near the deteriorating boards. The chain was observed still zip tied to the fence post, but the administrator removed the chain during the visit. Item 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have a TB test completed prior to the first day of employment. Item 1035- Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. This is a violation of a requirement in .0701(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have an emergency information completed prior to the first day of employment. Item 1043- All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. This is a violation of a requirement in G.S. 110-91( 9). Student interns file is now on site for review and the file was reviewed during the visit. We discussed the importance of all staff files remaining on-site at all times. Item 1045- New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete the required documentation of orientation with in the specified timeframe. 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. Staff member hired 7/16/2025, First Aid expired 11/2024. This is a violation of a requirement in .1102(c) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required First Aid training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. 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. Staff member hired 7/16/2025, CPR expired 11/2024. This is a violation of a requirement in .1102(d) Staff member hired 7/16/2025 was terminated on 10/27/2025. We discussed that moving forward any new staff hired must complete the required CPR training with in the first 90 days of employment and any staff recertifying must renew training prior to the expiration date on their card. Item 1067- Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. This is a violation of a requirement in .1101(a)(b) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must complete within the first two weeks of employment, six (6) clock hours of training in the required topics Item 1233- Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. This is a violation of a requirement in 10A NCAC 09 .0514(g). Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file for job description and operational policies and procedures documenting the staff members receipt. Item 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. This is a violation of a requirement in .0802(c). The child’s parent/guardian updated the emergency information on file on 10/28/2025. The updated information is now on file for review. Item 1874- The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. This is a violation of a requirement in .0608(d)(1-4) Staff member hired 8/11/25 was terminated on 10/20/2025. We discussed that moving forward any new staff hired must have documentation on file prior to caring for children showing receipt of the Shaken Baby and Abusive Head Trauma Policy. Item 1898- Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. This is a violation of a requirement in .1102(a). Staff member hired 9/17/2024 completed the administration of medication training on 10/28/2025. The completion certificate is now on file for review. Item 9995- A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches Mats were measured today, and mats measured the required two (2) inches thick. Today, I verified corrections of seventeen (17) of the twenty-three (23) violations. A letter of compliance was submitted on 10/28/2025, but the administrator will need to make some edits to the letter of compliance as a few items need additional information. The letter of compliance will need to be re-submitted by 10/30/2025 to document how compliance was achieved. 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 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, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** 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 #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** .0604(q) Technical assistance was provided as follows: Item 812- Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION** The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION** The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) 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 11/12/2025. 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: - Based on the number of violations cited during October 16, 2025, an administrative action may be taken. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .0604 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .0701 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .0802 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .0514 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .0604 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .0605 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .0608 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .0701 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .0803 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .1101 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 .3222 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 09.0514 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 09.0604 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 09.1101 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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. 110-91 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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.11091 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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

GS 110-91 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 handwritten visit summary was completed, due to connectivity and time constraints. I will email the computer-generated visit summary upon completion, it will include any additional violations documented, steps to achieve compliance, and additional consultation. I reviewed the handwritten visit summary with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director, during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Director, 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 percent (80%) as of 10/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc., is current/active as of 10/14/2025. Permit type – Three (3) Star Center License, issued 7/8/2020. Special Services/Restrictions – first shift, meets enhance ratios. The last annual compliance visit was conducted on 11/14/2024. The last fire drill was practiced on 10/3/2025. The last lockdown drill was practiced on 9/22/2025. The last playground inspection was documented on 10/2/2025. The last fire inspection was approved on 5/30/2025. The last sanitation inspection was conducted on 8/29/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 10/3/2023 without hazards. Lead paint and asbestos testing was in the process of being completed. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival, I was greeted by Alicia Davis, Director. A walk through of the indoor and outdoor environment used by the children was conducted. In space # 1, the group of infants and one-year-old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed the classroom did not have a daily schedule posted for the children. We discussed that a daily schedule must be posted. In space # 2, the group of one- and two-year-old children were engaged in free play with trucks, books, soft toys, and the little tikes cottage. The staff member was reading the children a story and supervising the children. After free play, the group prepared for lunch. While monitoring, I observed a staff daily schedule posted, but not a daily schedule for the children. When I asked the administrator, she stated that she will need to get one posted to reflect the daily schedule for the children. In space # 3, the group of two- to three-year-old children were engaged with free play using blocks, dramatic play materials, and books. After free play, the group prepared for lunch. While monitoring the indoor environment during free play, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. A broken bucket for magnetic tiles was observed in use in the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. Plastic diaper packaging that is easily torn were accessible to children under three years old in the cubby area and underneath the diaper changer. The director moved the items up five (5) feet to be inaccessible to children during the visit. While monitoring medications, I observed one (1) tube of diaper cream that expired 9/2025. The director removed it during the visit. While observing the daily schedule at 10:54a, it documented that the children were to go outside from 10:45a to 11:30a. The group was not observed going outside during the visit. While monitoring during nap, I observed a three-year-old child on their cot watching a tablet from 12:12p to 12:22p. The child fell asleep with the tablet still playing. The show the child was watching was not used to stimulate a developmental domain. I also observed three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. I also, observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. While continuing to monitor during nap, I observed two (2) large rectangle tables used for eating meals and snacks standing up on the shorter side in front of the hand washing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. In space # 4, the group of four and five-year-old children were engaged in gross motor play outdoors with the climber, slide, and yoga. The staff were engaged with the children and actively supervising. When outdoor play concluded, the group transitioned indoors to prepare for lunch. I observed the group entering the closed playground where the adult hammer, screwdriver, and screws were accessible to children. We discussed that all licensed space must meet licensing requirement. If the facility plans to make repairs or needs to close a license space for maintenance to notify me within thirty (30) days of the repairs for us to establish a plan and timeline for completion. While monitoring outdoors, I observed that the infant/toddler playgrounds were closed due to maintenance being conducted on the bottom of the ramp. The contractor began working on the ramp Tuesday, October 14, 2025. The facility has closed the two (2) playgrounds. When asked how the children are getting the daily outdoor time, the director stated that the waddler one- to two-year-old teacher was providing indoor gross motor play and has not been outdoors since Monday, October 13, 2025. The infant teacher is bringing the children out on the ramp area. While monitoring during the visit, the infant and one-year-old children were not observed going outside for outdoor play. I stated per rule the children are to come out daily, and the administrator is to notify thirty (30) days prior to any renovations or changes to the indoor or outdoor environment. Had the administrator communicated with me, we could have developed a plan for ensuring the children are outdoors daily and the maintenance would not impact care. At the back playground, I observed the gate latch was broken and the facility was using a loose chain to close the gate. Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Staff file concerns: One (1) student intern file was not on-site for review. The ABCMS portal was viewed to verify the student intern had a valid qualifying letter. The director stated that the administrator must have the staff members file with her off-site. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. Emergency information form was completed on 8/25/2025 after the first day of employment. Shaken Baby and Abusive Head Trauma Policy was not signed by the staff member prior to caring for children. The staff members’ name was printed and the date the policy was received and explained was documented but there was no staff signature. The staff member’s job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staff’s file was blank and not completed. The director stated that she knew the TB and emergency information was completed after the staff members’ first day of employment. She thought the administrator had completed the remaining required documents within the required timeline. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. The director stated that she thought the staff member had completed the required training prior to the staff members’ one-year employment date. However, when reviewing the staff members online Moodle account, the director stated that it did not show completion of the administration of medication training topic. I stated that the staff member will need to complete the training within two (2) weeks, and the training would not be able to count towards the staff members’ on-going training hours as it was required to be completed within the staff members’ first year of employment. Staff member hired 7/16/2025, First Aid and CPR expired 11/2024. When asked the director stated that they thought the staff member had completed the training. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Children’s file concern: Child enrolled 2/17/2024 emergency information was not updated annually. The last date of the emergency information was completed on 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue Pathway #2- Classroom and Instructional Quality. We reviewed Pathway #2- Classroom Instructional Quality. We discussed that a curriculum will need to be purchased, train staff, and implement. The facility plans to apply for a rated license by the next visit within six (6) months. 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 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. GS 110-91(2);.0508(c) 415 A current schedule was not posted for each group of children for reference. Space #1, and #2, did not have current schedule posted for the children. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Space #3, a broken bucket for magnetic tiles was observed in use in the block center. .0601(c) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter slide in front of the sink. For the safety of the children, it is best to keep the table on all four (4) legs to ensure the table does not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. The gate was closed using a loose chain that poses a choking hazard. 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 #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. 10A NCAC 09 .0604(c) 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. Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. .0803(12) 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. Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. .0701(a) 1043 All staff records, except financial records, were not made available for review. One (1) student interns file was not on-site for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 7/16/2025, First Aid expired 11/2024. .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 hired 7/16/2025, CPR expired 11/2024. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt. 10A NCAC 09 .0514(g) 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. Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. .0802(c) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. .1102(a) 9995 A violation was found for which there is no item number. Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. Technical assistance was provided as follows: Item 410- Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. We discussed that children must go outside for a minimum of one (1) hour daily. We discussed while maintenance is going on the infants and one-year-olds can use the ramp area while the maintenance team is not working. The staff will need to ensure the ramp area is safe and free of hazards (ex. Adult tools, screws, nuts, bolt, broken wood, etc.). The outdoor ramp space is approved for five (5) children to use the space at one (1) time. The staff will need to ensure only five (5) children are on the ramp area at one time and bring portable equipment for the children to use while engaged in outdoor play. Rule Reference: G.S.11091(2); .0508(c) Item 415- Space #1, and #2, did not have current schedule posted for the children. We discussed that each group of children shall have a current schedule posted for the parents and caregivers to reference. The activity plan and schedule may be combined in a single document. Rule Reference: G.S. 110-91(12);.0508(a) Item 524- Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain. We discussed that the screen time should be used to stimulate an educational domain, limited to thirty (30) minutes a day, and documented on a cumulative log or the activity plan. Rule Reference: .0510(d)(2)(A-C) Item 614– Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area. We discussed that each cot and/or mat shall be at least eighteen (18) inches apart or a solid barrier extending the full length of the cot and/or mat shall be placed as a divider so long as it does not pose a supervision issue. The staff will need to look at cot and/or mat placement to ensure all cots and/or mats are placed at least eighteen (18) inches apart at all times. Rule Reference: 15A NCAC 18A.2821(e) Item 705- Space #3, a broken bucket for magnetic tiles was observed in use the block center. When I pointed out to the teacher, she discarded the broken bucket and replaced it with a new one. We discussed conducting a daily classroom check to ensure broken equipment and furnishing are removed from play to prevent any injuries. Rule Reference: 10A NCAC 09.0604(q) Item 717- Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet. We discussed that the equipment is too close to the privacy fence and needs to be moved out to measure six (6) feet around the equipment to allow for an adequate fall zone for the children. The director stated that she will have the contractor move the equipment out to ensure an adequate fall zone is provided. Rule Reference: 10A NCAC 09 .0605(l)(1-2) Item #721- Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate. We discussed that a new gate latch will need to be installed to securely close the gate and to prevent additional hazards. Rule Reference: G.S. 110-91(6); .0601(b) Item 807- Space #3, during nap, I observed two (2) large rectangle tables standing up on the shorter side in front of the handwashing sinks. For the safety of the children, it is best to keep the tables on all four (4) legs to ensure the tables do not fall on a child. Outdoors, the group of four- to five-year-old children entered outdoor space #2 that was currently closed due to ramp repairs. The playground had adult tools and screws accessible to children. We discussed that the adult tools would need to be removed from the outdoor environment and/or made inaccessible to children. Outdoor space #3, Four (4) wooden privacy panel boards were observed to be deteriorating at the bottom creating sharp edges that could splinter and injure a child. We discussed that the deteriorating privacy boards would need to be replaced, or repairs made to prevent the children from accessing the area that was splintering. The gate latch was broken and a loose chain that poses a choking hazard was used to close the gate. We discussed that the chain would need to be removed, and new gate latch installed to properly close the gate. We also discussed stressing the importance of conducting daily outdoor environment checks to ensure the environment is free of hazards and safe for children to play with staff. Rule Reference: 10A NCAC 09.0601(a) Item 812- Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered. The director covered the electrical outlets with a safety outlet cover during the visit. We discussed reviewing with staff to conduct a daily classroom check to ensure the classroom environment is free of any hazards. Rule Reference: 10A NCAC 09 .0604(c) Item #849- Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit. We discussed conducting a monthly medication check to ensure the medication is still in date to use. Rule Reference: 10A NCAC 09 .0803(12) Item #858- Space #3, plastic diaper packaging that is easily torn was located accessible to children under three years old in the cubby area and underneath the diaper changer. The administrator corrected this during the visit by moving the plastic diaper packaging up five (5) feet and inaccessible to the children. Rule Reference: 10A NCAC 09 .0604(q) Item #1033- Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment. We discussed that employees must submit a completed TB test or TB questionnaire prior to the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1035- Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment. We discussed employees must submit a completed emergency information on or before the first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item #1043- one (1) student interns file was not on-site for review. We discussed that all staff files must remain on-site for review by the Division. The director stated the administrator must have the file with her off-site. Rule Reference: G.S. 110-91(9) Item #1045- Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09 .1101(a) Item #1048- Staff member hired 7/16/2025, First Aid expired 11/2024. We discussed First Aid training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(c) Item #1049- Staff member hired 7/16/2025, CPR expired 11/2024. We discussed CPR training is due to be renewed by the expiration date on the card. When a staff member terminates employment and returns as substitute, you need to document the date the training was taken and the expiration date to ensure the staff member is registered and completes the recertification training prior to the expiration date on the card. Please know an administrative action was taken August 2024 for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. Rule Reference: 10A NCAC 09 .1102(d) Item #1067- Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed. We discussed as training is completed, to complete the appropriate training section of the form to document the date, time, and the training provider’s name. I recommend having the staff member a file created with all the required documents, and you pull the file as you are working with the staff member to ensure the required items are completed. I also recommend that you document on your calendar the specific due dates for the required items. Rule Reference: 10A NCAC 09.1101(a)(b) Item #1233- The staff member hired 8/11/2025, job description and operational policies and procedures were not signed by the staff member documenting receipt. Documentation of orientation in the staffs file was blank and not completed. We discussed that all staff files must contain a signed job description and operational policies and procedures. It is best to complete these during orientation. Rule Reference: 10A NCAC 09.0514(g) Item #1311- Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024. We discussed that parents are to review the emergency information at least yearly to ensure that the facility has the most current emergency information for each child. The director stated that she had just had the parents review the emergency information for each child but must have missed getting this child’s updated. She will get it updated and on file. Rule Reference: 10A NCAC 09 .0802(c) Item #1874- Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member. The staff members name was printed and the date the policy was explained and received was documented but no staff signature. We discussed that the form must be completed with signature to document that the staff member was explained and received the policy. Rule Reference: 10A NCAC 09 .0608(d)(1-4) Item #1898-Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) year of employment. We discussed when new staff are hired, they have one (1) year from their employment date to complete the required health and safety training. Rule Reference: 10A NCAC 09 .1102(a) Item #9995- Space #3 the group of two-to-three-year-old children where I observed four (4) children laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches. We discussed that all mats shall be of a waterproof, washable material at least two (2) inches thick. Rule Reference: 15A NCAC 18A .2821(d) Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen plus (16+) violations cited during today’s visit. 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 10/30/2025. 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: Based on the number of violations cited today, an unannounced follow-up visit will be conducted to verify compliance, and administrative action may be taken. Please know an administrative action was taken August 2024, for repeat violation of First Aid and CPR requirements, based on today’s visit, I continue to observe concerns of First Aid and CPR requirements not being met. I strongly encourage you to reach out to Buncombe County Partnership for Children at 828-285-9333, and/or Chrissy Wolfe at chrissy.wolfe@mahec.net or 828-424-0562 or Robin Worley at robin.worley@mahec.net or 828-772-0504for training on safe indoor and outdoor environment. I am available to provide a technical assistance visit to review licensing requirements and assist you with developing a plan to prevent reoccurrences f violation. With QRIS modernization consistent open communication will be key to the pathway of your choice. You will need to communicate with me an challenges your are facing and any resources and support you may need. Continue to work on finalizing the lead paint and asbestos testing as it was due to be completed by May 31, 2025. 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 was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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 09.0802 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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 09.0902 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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. 110-91 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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

GS 110-91 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 27 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. 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 Alicia Davis, Assistant Director during the visit. A signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/14/2024. The following items were monitored today: 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 – Three (3) Star Rated License, issued 7/8/2020. Special Services/Restrictions – First shift, meets enhanced ratios. The last fire drill was practiced on 2/27/2025. A fire dill was not conducted for the month of March. We discussed that fire drills are required to be conducted monthly and one will need to be conducted. The last emergency drill, shelter in place drill, was practiced on 2/4/2025. The next emergency drill is due by the end of May. The last playground inspection 11/6/2024. A monthly playground inspection has not been completed due to Tropical Storm Helene and playground repairs. Playground repairs were completed on 3/31/2025. The facility provided indoor gross motor play until the playground reopened on 4/1/2025. We discussed that a monthly playground inspection is due to be conducted by the end of April The last fire inspection was approved on 5/31/2024. The program’s most recent sanitation inspection was completed on 9/18/2024, with six (6) demerits. The last lead water testing was completed on 10/4/2023 and is due by 10/4/2026. The lead paint and asbestos testing enrollment has been started. The Emergency Medical Care Plan is current and posted. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. In space # 1, the group of infants and one year old children were engaged in floor play and individual feeding. While monitoring the classroom, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. One (1) feeding plan was not signed by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with trucks, books, soft toys, and the little tikes cottage. After free play, the group prepared for lunch. While monitoring the classroom, I observed the lesson plans dated 3/10-3/14. We discussed that the activity plans need to be current and posted. The assistant director stated that she has misplaced the activity plans for this week. In space # 3, the group of three- to four-year-old children were engaged in group time with books. After group time, the class transitioned to music and movement. In space # 4, the group of four and five-year-old children were engaged in free play with blocks, dramatic play, and books. After free play, the group cleaned up and transitioned to group time. While monitoring the classroom, I observed the activity plans dated 3/24-3/28. Lunch today consisted of ham and cheese sliders, peaches, carrots, and milk. The program does not provide transportation. While monitoring outdoors, I observed the playground has been repaired and a new playground diagram and measurements were completed during the visit. While the playground was closed, the facility provided indoor gross motor play. The playground reopened for children to resume outdoor gross motor play on 4/1/2025. Monthly playground inspections will resume beginning the month of April. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation** .0902(a) 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. Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation** .0803(12) Technical assistance was provided as follows: Item 428 In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14. We discussed that the activity plans will need to updated and posted. Ms. Davis stated that she had just finished the activity plans and misplaced them. She will ensure they get updated and posted. Rule reference: G.S. 110-91(12);.0508(a) Item 541 In space #1, one (1) feeding plan was not signed by the parents. We discussed having staff reviewed the forms with the parents and have them sign the form when it turned. **Repeat violation** Rule Reference: 10A NCAC 09.0902(a) Item 849 Space #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. We discussed that the parents will need to update the form when they pick up the child. We discussed creating a chart to track the medications and forms. Then have a staff member assigned to check the medications and forms monthly to ensure the medications and forms are still in date. **Repeat Violation** Rule Reference: 10A NCAC 09.0803(12) 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 4/23/2025. 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: Reminders: The annual fire inspection is due to be completed on or before 5/31/2025. I recommend reaching out to the local Fire Marshal to ensure that they have you on their schedule. We reviewed items that are required to be updated annually, emergency information, health questionnaire, Professional Development Plans, EPR plan review, emergency medical care plan review, and staff evaluations. I strongly recommend that you mark your calendar to ensure that you do not miss the annual date to update these documents. Staff member HB health and safety training topics are due to be completed by 7/29/2025. Staff member AM First Aid and CPR training is due to be completed by 9/15/2025. Staff member SM First Aid and CPR training is due to be completed by 12/2025. Emergency Medical Care plan look at adding another alternative person in the event Ms. Webb and Ms. Davis is not on-site. Rule Reference 10A NCAC 09.0802(b)(1-2) 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 25 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 260 Time In: 09:55 AM Time Out: 02:15 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 Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, on-site and 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-one percent (81%) as of 11/6/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, is current/active as of 11/6/2024. Permit type – Three Star Rated License, issued 7/8/2020. Special Services/Restrictions – first shift and meets enhanced ratios. The last annual compliance visit was conducted on 11/21/2023. The last fire drill was practiced on 9/9/2024. Due to tropical storm Helene a fire drill was not conducted for the month of October. A drill will need to be conducted by 11/30/2024. The last lockdown drill was practiced on 11/4/2024. The last playground inspection was documented on 11/6/2024. Due to tropical storm Helene, the facility is conducting indoor gross motor play. The playground has divots and holes that need to be repaired to prevent a child from tripping or getting injured. The facility needs new surfacing due to the surfacing washing away as a result of the storm. The last fire inspection was approved on 5/31/2024. The last sanitation inspection was conducted on 9/18/2024 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Ms. Davis. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. The facility is operating with an Emergency Operation Plan (EOP) for boil water notice that was approved by the Division and Environmental Health on 10/30/2024. Environmental Health conducted a disaster assessment on 10/29/2024, and site visit prior to re-opening on 11/4/2024. During the walk through, I monitored the indoor and outdoor spaces used by the children and the implementation of the EOP for boil water notice. In space # 1, the group of infants and one year old children were engaged in free play on the floor with rattles, blocks, and trucks. While monitoring the medications, I observed one (1)Desitin diaper cream expired 8/2024, and two (2) feeding plans were not signed and dated by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with riding toys, music, phones, and toy animals. While monitoring, I discussed with the teacher that two (2) diaper cream medication forms need to be updated by 11/17/2024. In space # 3, the group of three- to four-year-old children were engaged in free choice center play with books and dramatic play. While monitoring, the teacher and I discussed the need to add a gross motor activity to the activity plans. Under the outdoor play section, the activity plan listed music, we discussed that the activity listed should be related to gross motor play. In space # 4, the group of two and a half- to three-year-old children were engaged in free play with blocks, trucks, books, and dramatic play. While monitoring, I observed one (1) emergency medication that was not in a original pharmacy container with the pharmacy label. The emergency medication did not have the permission to administer medication form, and the action plan expired on 10/3/2024. The action plan was unable to be updated on time due to tropical storm Helene. The staff were moving about the indoor area and actively supervising the children. While monitoring the outdoor space, I did observe the playground damage that the facility sustained due to Tropical Storm Helene. The facility is unable to use the outdoor gross motor space due to the divots and holes throughout the playground. The facility is providing indoor gross motor play for the children. Ms. Davis and I discussed the need to develop a plan with a timeline to re-opening the playground for the children to use. Ms. Davis did reach out to Teresa Webb, Administrator via text during the visit to see if she had a tentative timeline in place. Ms. Webb responded and said that she was not sure when the playground would re-open due to funds and applying for a grant. The facility needs the funds in order to move forward with the playground repairs. The program does not provide transportation. The staff and children’s files were reviewed during the visit. A staff and training worksheet was completed for the staff files reviewed. The administrator will need to complete the staff and training worksheet for the remaining staff members and submit to me by close of business on 11/15/2024. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. .0803(2)(a) 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 # 1, one (1) diaper cream was observed that expired on 8/2024. In space #4, one (1) diaper cream medication form expired on 9/18/2024. .0803(12) 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. Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. .0604(q) 9995 A violation was found for which there is no item number. The kitchen staff was observed preparing without a hair net or hair restraint. Technical assistance was provided as follows: Item 541- In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. We discussed at enrollment to review the feeding plan with the parent and have the parent and teacher sign and date the feeding plan when it is received by the facility. 10A NCAC 09 .0902(a) Item #842- In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. We discussed that when a parent brings in a medication to review all the required paperwork to ensure that you have a completed permission to administer medication form, action plan, and the required medication. 10A NCAC 09 .0803(1) Item #844- In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. We discussed when medications are brought to the facility, they should be in the original container and if it is a prescribed medication, it must have a pharmacy label to accompany the medication. 10A NCAC 09 .0803(2)(a) Item #849- in space # 1, one (1) diaper cream was observed that expired on 8/2024. The staff removed the medication from the classroom during the visit. In space #4, one (1) diaper cream medication form expired on 9/18/2024. The staff removed the medication and form from the classroom during the visit. We discussed the need to review the medications monthly to ensure that the forms and medications are still valid to be administered. 10A NCAC 09 .0803(12) Item #858- Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. We discussed the need to ensure that all plastic bags, Ziploc bags, and easily torn items. 10A NCAC 09 .0604(q) Item #9995- The kitchen staff was observed preparing without a hair net or hair restraint. The staff member put on a hair net during the visit. We discussed the need to wear a hair net or hair restraint at all times during food preparation and service. 15A NCAC 18A .2808 (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 • Statement of compliance I must receive your compliance statement by 11/28/2024. 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 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 that the fourteenth day for submitting the letter of compliance falls on Thanksgiving Day. The letter of compliance will need to be submitted prior to the facility closing for the Thanksgiving holiday or on the due date. The administrator stated that she will submit the letter of compliance prior to closure for the holiday. At nap time, staff need to watch the lighting in the classroom to ensure that they are able to see the children breathing and if their skin color is normal to ensure the children are not having difficulty breathing. Per phone conversation with the administrator, the staff member hired 3/4/2024 file was missing the medical report the administrator will review her emails for receipt of the medical report. If she is unable to locate the medical report via email, she will communicate with the staff member hired 3/4/2024 to work with her physician to schedule a visit to have the medical report completed or request a copy of the medical report. The administrator stated that she will keep me updated on the progress for achieving compliance. We also discussed the staff member hired 1/1/2018 professional development plan and staff evaluations were not completed annually. The administrator stated that she would have those completed within a week to achieve compliance. 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 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 25 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 260 Time In: 09:55 AM Time Out: 02:15 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 Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, on-site and 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-one percent (81%) as of 11/6/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, is current/active as of 11/6/2024. Permit type – Three Star Rated License, issued 7/8/2020. Special Services/Restrictions – first shift and meets enhanced ratios. The last annual compliance visit was conducted on 11/21/2023. The last fire drill was practiced on 9/9/2024. Due to tropical storm Helene a fire drill was not conducted for the month of October. A drill will need to be conducted by 11/30/2024. The last lockdown drill was practiced on 11/4/2024. The last playground inspection was documented on 11/6/2024. Due to tropical storm Helene, the facility is conducting indoor gross motor play. The playground has divots and holes that need to be repaired to prevent a child from tripping or getting injured. The facility needs new surfacing due to the surfacing washing away as a result of the storm. The last fire inspection was approved on 5/31/2024. The last sanitation inspection was conducted on 9/18/2024 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Ms. Davis. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. The facility is operating with an Emergency Operation Plan (EOP) for boil water notice that was approved by the Division and Environmental Health on 10/30/2024. Environmental Health conducted a disaster assessment on 10/29/2024, and site visit prior to re-opening on 11/4/2024. During the walk through, I monitored the indoor and outdoor spaces used by the children and the implementation of the EOP for boil water notice. In space # 1, the group of infants and one year old children were engaged in free play on the floor with rattles, blocks, and trucks. While monitoring the medications, I observed one (1)Desitin diaper cream expired 8/2024, and two (2) feeding plans were not signed and dated by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with riding toys, music, phones, and toy animals. While monitoring, I discussed with the teacher that two (2) diaper cream medication forms need to be updated by 11/17/2024. In space # 3, the group of three- to four-year-old children were engaged in free choice center play with books and dramatic play. While monitoring, the teacher and I discussed the need to add a gross motor activity to the activity plans. Under the outdoor play section, the activity plan listed music, we discussed that the activity listed should be related to gross motor play. In space # 4, the group of two and a half- to three-year-old children were engaged in free play with blocks, trucks, books, and dramatic play. While monitoring, I observed one (1) emergency medication that was not in a original pharmacy container with the pharmacy label. The emergency medication did not have the permission to administer medication form, and the action plan expired on 10/3/2024. The action plan was unable to be updated on time due to tropical storm Helene. The staff were moving about the indoor area and actively supervising the children. While monitoring the outdoor space, I did observe the playground damage that the facility sustained due to Tropical Storm Helene. The facility is unable to use the outdoor gross motor space due to the divots and holes throughout the playground. The facility is providing indoor gross motor play for the children. Ms. Davis and I discussed the need to develop a plan with a timeline to re-opening the playground for the children to use. Ms. Davis did reach out to Teresa Webb, Administrator via text during the visit to see if she had a tentative timeline in place. Ms. Webb responded and said that she was not sure when the playground would re-open due to funds and applying for a grant. The facility needs the funds in order to move forward with the playground repairs. The program does not provide transportation. The staff and children’s files were reviewed during the visit. A staff and training worksheet was completed for the staff files reviewed. The administrator will need to complete the staff and training worksheet for the remaining staff members and submit to me by close of business on 11/15/2024. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. .0803(2)(a) 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 # 1, one (1) diaper cream was observed that expired on 8/2024. In space #4, one (1) diaper cream medication form expired on 9/18/2024. .0803(12) 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. Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. .0604(q) 9995 A violation was found for which there is no item number. The kitchen staff was observed preparing without a hair net or hair restraint. Technical assistance was provided as follows: Item 541- In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. We discussed at enrollment to review the feeding plan with the parent and have the parent and teacher sign and date the feeding plan when it is received by the facility. 10A NCAC 09 .0902(a) Item #842- In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. We discussed that when a parent brings in a medication to review all the required paperwork to ensure that you have a completed permission to administer medication form, action plan, and the required medication. 10A NCAC 09 .0803(1) Item #844- In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. We discussed when medications are brought to the facility, they should be in the original container and if it is a prescribed medication, it must have a pharmacy label to accompany the medication. 10A NCAC 09 .0803(2)(a) Item #849- in space # 1, one (1) diaper cream was observed that expired on 8/2024. The staff removed the medication from the classroom during the visit. In space #4, one (1) diaper cream medication form expired on 9/18/2024. The staff removed the medication and form from the classroom during the visit. We discussed the need to review the medications monthly to ensure that the forms and medications are still valid to be administered. 10A NCAC 09 .0803(12) Item #858- Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. We discussed the need to ensure that all plastic bags, Ziploc bags, and easily torn items. 10A NCAC 09 .0604(q) Item #9995- The kitchen staff was observed preparing without a hair net or hair restraint. The staff member put on a hair net during the visit. We discussed the need to wear a hair net or hair restraint at all times during food preparation and service. 15A NCAC 18A .2808 (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 • Statement of compliance I must receive your compliance statement by 11/28/2024. 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 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 that the fourteenth day for submitting the letter of compliance falls on Thanksgiving Day. The letter of compliance will need to be submitted prior to the facility closing for the Thanksgiving holiday or on the due date. The administrator stated that she will submit the letter of compliance prior to closure for the holiday. At nap time, staff need to watch the lighting in the classroom to ensure that they are able to see the children breathing and if their skin color is normal to ensure the children are not having difficulty breathing. Per phone conversation with the administrator, the staff member hired 3/4/2024 file was missing the medical report the administrator will review her emails for receipt of the medical report. If she is unable to locate the medical report via email, she will communicate with the staff member hired 3/4/2024 to work with her physician to schedule a visit to have the medical report completed or request a copy of the medical report. The administrator stated that she will keep me updated on the progress for achieving compliance. We also discussed the staff member hired 1/1/2018 professional development plan and staff evaluations were not completed annually. The administrator stated that she would have those completed within a week to achieve compliance. 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 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 25 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 260 Time In: 09:55 AM Time Out: 02:15 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 Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, on-site and 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-one percent (81%) as of 11/6/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, is current/active as of 11/6/2024. Permit type – Three Star Rated License, issued 7/8/2020. Special Services/Restrictions – first shift and meets enhanced ratios. The last annual compliance visit was conducted on 11/21/2023. The last fire drill was practiced on 9/9/2024. Due to tropical storm Helene a fire drill was not conducted for the month of October. A drill will need to be conducted by 11/30/2024. The last lockdown drill was practiced on 11/4/2024. The last playground inspection was documented on 11/6/2024. Due to tropical storm Helene, the facility is conducting indoor gross motor play. The playground has divots and holes that need to be repaired to prevent a child from tripping or getting injured. The facility needs new surfacing due to the surfacing washing away as a result of the storm. The last fire inspection was approved on 5/31/2024. The last sanitation inspection was conducted on 9/18/2024 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Ms. Davis. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. The facility is operating with an Emergency Operation Plan (EOP) for boil water notice that was approved by the Division and Environmental Health on 10/30/2024. Environmental Health conducted a disaster assessment on 10/29/2024, and site visit prior to re-opening on 11/4/2024. During the walk through, I monitored the indoor and outdoor spaces used by the children and the implementation of the EOP for boil water notice. In space # 1, the group of infants and one year old children were engaged in free play on the floor with rattles, blocks, and trucks. While monitoring the medications, I observed one (1)Desitin diaper cream expired 8/2024, and two (2) feeding plans were not signed and dated by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with riding toys, music, phones, and toy animals. While monitoring, I discussed with the teacher that two (2) diaper cream medication forms need to be updated by 11/17/2024. In space # 3, the group of three- to four-year-old children were engaged in free choice center play with books and dramatic play. While monitoring, the teacher and I discussed the need to add a gross motor activity to the activity plans. Under the outdoor play section, the activity plan listed music, we discussed that the activity listed should be related to gross motor play. In space # 4, the group of two and a half- to three-year-old children were engaged in free play with blocks, trucks, books, and dramatic play. While monitoring, I observed one (1) emergency medication that was not in a original pharmacy container with the pharmacy label. The emergency medication did not have the permission to administer medication form, and the action plan expired on 10/3/2024. The action plan was unable to be updated on time due to tropical storm Helene. The staff were moving about the indoor area and actively supervising the children. While monitoring the outdoor space, I did observe the playground damage that the facility sustained due to Tropical Storm Helene. The facility is unable to use the outdoor gross motor space due to the divots and holes throughout the playground. The facility is providing indoor gross motor play for the children. Ms. Davis and I discussed the need to develop a plan with a timeline to re-opening the playground for the children to use. Ms. Davis did reach out to Teresa Webb, Administrator via text during the visit to see if she had a tentative timeline in place. Ms. Webb responded and said that she was not sure when the playground would re-open due to funds and applying for a grant. The facility needs the funds in order to move forward with the playground repairs. The program does not provide transportation. The staff and children’s files were reviewed during the visit. A staff and training worksheet was completed for the staff files reviewed. The administrator will need to complete the staff and training worksheet for the remaining staff members and submit to me by close of business on 11/15/2024. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. .0803(2)(a) 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 # 1, one (1) diaper cream was observed that expired on 8/2024. In space #4, one (1) diaper cream medication form expired on 9/18/2024. .0803(12) 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. Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. .0604(q) 9995 A violation was found for which there is no item number. The kitchen staff was observed preparing without a hair net or hair restraint. Technical assistance was provided as follows: Item 541- In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. We discussed at enrollment to review the feeding plan with the parent and have the parent and teacher sign and date the feeding plan when it is received by the facility. 10A NCAC 09 .0902(a) Item #842- In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. We discussed that when a parent brings in a medication to review all the required paperwork to ensure that you have a completed permission to administer medication form, action plan, and the required medication. 10A NCAC 09 .0803(1) Item #844- In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. We discussed when medications are brought to the facility, they should be in the original container and if it is a prescribed medication, it must have a pharmacy label to accompany the medication. 10A NCAC 09 .0803(2)(a) Item #849- in space # 1, one (1) diaper cream was observed that expired on 8/2024. The staff removed the medication from the classroom during the visit. In space #4, one (1) diaper cream medication form expired on 9/18/2024. The staff removed the medication and form from the classroom during the visit. We discussed the need to review the medications monthly to ensure that the forms and medications are still valid to be administered. 10A NCAC 09 .0803(12) Item #858- Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. We discussed the need to ensure that all plastic bags, Ziploc bags, and easily torn items. 10A NCAC 09 .0604(q) Item #9995- The kitchen staff was observed preparing without a hair net or hair restraint. The staff member put on a hair net during the visit. We discussed the need to wear a hair net or hair restraint at all times during food preparation and service. 15A NCAC 18A .2808 (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 • Statement of compliance I must receive your compliance statement by 11/28/2024. 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 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 that the fourteenth day for submitting the letter of compliance falls on Thanksgiving Day. The letter of compliance will need to be submitted prior to the facility closing for the Thanksgiving holiday or on the due date. The administrator stated that she will submit the letter of compliance prior to closure for the holiday. At nap time, staff need to watch the lighting in the classroom to ensure that they are able to see the children breathing and if their skin color is normal to ensure the children are not having difficulty breathing. Per phone conversation with the administrator, the staff member hired 3/4/2024 file was missing the medical report the administrator will review her emails for receipt of the medical report. If she is unable to locate the medical report via email, she will communicate with the staff member hired 3/4/2024 to work with her physician to schedule a visit to have the medical report completed or request a copy of the medical report. The administrator stated that she will keep me updated on the progress for achieving compliance. We also discussed the staff member hired 1/1/2018 professional development plan and staff evaluations were not completed annually. The administrator stated that she would have those completed within a week to achieve compliance. 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 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 .0902 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 25 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 260 Time In: 09:55 AM Time Out: 02:15 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 Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, on-site and 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-one percent (81%) as of 11/6/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, is current/active as of 11/6/2024. Permit type – Three Star Rated License, issued 7/8/2020. Special Services/Restrictions – first shift and meets enhanced ratios. The last annual compliance visit was conducted on 11/21/2023. The last fire drill was practiced on 9/9/2024. Due to tropical storm Helene a fire drill was not conducted for the month of October. A drill will need to be conducted by 11/30/2024. The last lockdown drill was practiced on 11/4/2024. The last playground inspection was documented on 11/6/2024. Due to tropical storm Helene, the facility is conducting indoor gross motor play. The playground has divots and holes that need to be repaired to prevent a child from tripping or getting injured. The facility needs new surfacing due to the surfacing washing away as a result of the storm. The last fire inspection was approved on 5/31/2024. The last sanitation inspection was conducted on 9/18/2024 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Ms. Davis. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. The facility is operating with an Emergency Operation Plan (EOP) for boil water notice that was approved by the Division and Environmental Health on 10/30/2024. Environmental Health conducted a disaster assessment on 10/29/2024, and site visit prior to re-opening on 11/4/2024. During the walk through, I monitored the indoor and outdoor spaces used by the children and the implementation of the EOP for boil water notice. In space # 1, the group of infants and one year old children were engaged in free play on the floor with rattles, blocks, and trucks. While monitoring the medications, I observed one (1)Desitin diaper cream expired 8/2024, and two (2) feeding plans were not signed and dated by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with riding toys, music, phones, and toy animals. While monitoring, I discussed with the teacher that two (2) diaper cream medication forms need to be updated by 11/17/2024. In space # 3, the group of three- to four-year-old children were engaged in free choice center play with books and dramatic play. While monitoring, the teacher and I discussed the need to add a gross motor activity to the activity plans. Under the outdoor play section, the activity plan listed music, we discussed that the activity listed should be related to gross motor play. In space # 4, the group of two and a half- to three-year-old children were engaged in free play with blocks, trucks, books, and dramatic play. While monitoring, I observed one (1) emergency medication that was not in a original pharmacy container with the pharmacy label. The emergency medication did not have the permission to administer medication form, and the action plan expired on 10/3/2024. The action plan was unable to be updated on time due to tropical storm Helene. The staff were moving about the indoor area and actively supervising the children. While monitoring the outdoor space, I did observe the playground damage that the facility sustained due to Tropical Storm Helene. The facility is unable to use the outdoor gross motor space due to the divots and holes throughout the playground. The facility is providing indoor gross motor play for the children. Ms. Davis and I discussed the need to develop a plan with a timeline to re-opening the playground for the children to use. Ms. Davis did reach out to Teresa Webb, Administrator via text during the visit to see if she had a tentative timeline in place. Ms. Webb responded and said that she was not sure when the playground would re-open due to funds and applying for a grant. The facility needs the funds in order to move forward with the playground repairs. The program does not provide transportation. The staff and children’s files were reviewed during the visit. A staff and training worksheet was completed for the staff files reviewed. The administrator will need to complete the staff and training worksheet for the remaining staff members and submit to me by close of business on 11/15/2024. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. .0803(2)(a) 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 # 1, one (1) diaper cream was observed that expired on 8/2024. In space #4, one (1) diaper cream medication form expired on 9/18/2024. .0803(12) 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. Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. .0604(q) 9995 A violation was found for which there is no item number. The kitchen staff was observed preparing without a hair net or hair restraint. Technical assistance was provided as follows: Item 541- In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. We discussed at enrollment to review the feeding plan with the parent and have the parent and teacher sign and date the feeding plan when it is received by the facility. 10A NCAC 09 .0902(a) Item #842- In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. We discussed that when a parent brings in a medication to review all the required paperwork to ensure that you have a completed permission to administer medication form, action plan, and the required medication. 10A NCAC 09 .0803(1) Item #844- In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. We discussed when medications are brought to the facility, they should be in the original container and if it is a prescribed medication, it must have a pharmacy label to accompany the medication. 10A NCAC 09 .0803(2)(a) Item #849- in space # 1, one (1) diaper cream was observed that expired on 8/2024. The staff removed the medication from the classroom during the visit. In space #4, one (1) diaper cream medication form expired on 9/18/2024. The staff removed the medication and form from the classroom during the visit. We discussed the need to review the medications monthly to ensure that the forms and medications are still valid to be administered. 10A NCAC 09 .0803(12) Item #858- Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. We discussed the need to ensure that all plastic bags, Ziploc bags, and easily torn items. 10A NCAC 09 .0604(q) Item #9995- The kitchen staff was observed preparing without a hair net or hair restraint. The staff member put on a hair net during the visit. We discussed the need to wear a hair net or hair restraint at all times during food preparation and service. 15A NCAC 18A .2808 (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 • Statement of compliance I must receive your compliance statement by 11/28/2024. 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 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 that the fourteenth day for submitting the letter of compliance falls on Thanksgiving Day. The letter of compliance will need to be submitted prior to the facility closing for the Thanksgiving holiday or on the due date. The administrator stated that she will submit the letter of compliance prior to closure for the holiday. At nap time, staff need to watch the lighting in the classroom to ensure that they are able to see the children breathing and if their skin color is normal to ensure the children are not having difficulty breathing. Per phone conversation with the administrator, the staff member hired 3/4/2024 file was missing the medical report the administrator will review her emails for receipt of the medical report. If she is unable to locate the medical report via email, she will communicate with the staff member hired 3/4/2024 to work with her physician to schedule a visit to have the medical report completed or request a copy of the medical report. The administrator stated that she will keep me updated on the progress for achieving compliance. We also discussed the staff member hired 1/1/2018 professional development plan and staff evaluations were not completed annually. The administrator stated that she would have those completed within a week to achieve compliance. 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 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 25 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 260 Time In: 09:55 AM Time Out: 02:15 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 Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, on-site and 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-one percent (81%) as of 11/6/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, is current/active as of 11/6/2024. Permit type – Three Star Rated License, issued 7/8/2020. Special Services/Restrictions – first shift and meets enhanced ratios. The last annual compliance visit was conducted on 11/21/2023. The last fire drill was practiced on 9/9/2024. Due to tropical storm Helene a fire drill was not conducted for the month of October. A drill will need to be conducted by 11/30/2024. The last lockdown drill was practiced on 11/4/2024. The last playground inspection was documented on 11/6/2024. Due to tropical storm Helene, the facility is conducting indoor gross motor play. The playground has divots and holes that need to be repaired to prevent a child from tripping or getting injured. The facility needs new surfacing due to the surfacing washing away as a result of the storm. The last fire inspection was approved on 5/31/2024. The last sanitation inspection was conducted on 9/18/2024 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Ms. Davis. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. The facility is operating with an Emergency Operation Plan (EOP) for boil water notice that was approved by the Division and Environmental Health on 10/30/2024. Environmental Health conducted a disaster assessment on 10/29/2024, and site visit prior to re-opening on 11/4/2024. During the walk through, I monitored the indoor and outdoor spaces used by the children and the implementation of the EOP for boil water notice. In space # 1, the group of infants and one year old children were engaged in free play on the floor with rattles, blocks, and trucks. While monitoring the medications, I observed one (1)Desitin diaper cream expired 8/2024, and two (2) feeding plans were not signed and dated by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with riding toys, music, phones, and toy animals. While monitoring, I discussed with the teacher that two (2) diaper cream medication forms need to be updated by 11/17/2024. In space # 3, the group of three- to four-year-old children were engaged in free choice center play with books and dramatic play. While monitoring, the teacher and I discussed the need to add a gross motor activity to the activity plans. Under the outdoor play section, the activity plan listed music, we discussed that the activity listed should be related to gross motor play. In space # 4, the group of two and a half- to three-year-old children were engaged in free play with blocks, trucks, books, and dramatic play. While monitoring, I observed one (1) emergency medication that was not in a original pharmacy container with the pharmacy label. The emergency medication did not have the permission to administer medication form, and the action plan expired on 10/3/2024. The action plan was unable to be updated on time due to tropical storm Helene. The staff were moving about the indoor area and actively supervising the children. While monitoring the outdoor space, I did observe the playground damage that the facility sustained due to Tropical Storm Helene. The facility is unable to use the outdoor gross motor space due to the divots and holes throughout the playground. The facility is providing indoor gross motor play for the children. Ms. Davis and I discussed the need to develop a plan with a timeline to re-opening the playground for the children to use. Ms. Davis did reach out to Teresa Webb, Administrator via text during the visit to see if she had a tentative timeline in place. Ms. Webb responded and said that she was not sure when the playground would re-open due to funds and applying for a grant. The facility needs the funds in order to move forward with the playground repairs. The program does not provide transportation. The staff and children’s files were reviewed during the visit. A staff and training worksheet was completed for the staff files reviewed. The administrator will need to complete the staff and training worksheet for the remaining staff members and submit to me by close of business on 11/15/2024. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. .0803(2)(a) 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 # 1, one (1) diaper cream was observed that expired on 8/2024. In space #4, one (1) diaper cream medication form expired on 9/18/2024. .0803(12) 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. Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. .0604(q) 9995 A violation was found for which there is no item number. The kitchen staff was observed preparing without a hair net or hair restraint. Technical assistance was provided as follows: Item 541- In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. We discussed at enrollment to review the feeding plan with the parent and have the parent and teacher sign and date the feeding plan when it is received by the facility. 10A NCAC 09 .0902(a) Item #842- In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. We discussed that when a parent brings in a medication to review all the required paperwork to ensure that you have a completed permission to administer medication form, action plan, and the required medication. 10A NCAC 09 .0803(1) Item #844- In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. We discussed when medications are brought to the facility, they should be in the original container and if it is a prescribed medication, it must have a pharmacy label to accompany the medication. 10A NCAC 09 .0803(2)(a) Item #849- in space # 1, one (1) diaper cream was observed that expired on 8/2024. The staff removed the medication from the classroom during the visit. In space #4, one (1) diaper cream medication form expired on 9/18/2024. The staff removed the medication and form from the classroom during the visit. We discussed the need to review the medications monthly to ensure that the forms and medications are still valid to be administered. 10A NCAC 09 .0803(12) Item #858- Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. We discussed the need to ensure that all plastic bags, Ziploc bags, and easily torn items. 10A NCAC 09 .0604(q) Item #9995- The kitchen staff was observed preparing without a hair net or hair restraint. The staff member put on a hair net during the visit. We discussed the need to wear a hair net or hair restraint at all times during food preparation and service. 15A NCAC 18A .2808 (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 • Statement of compliance I must receive your compliance statement by 11/28/2024. 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 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 that the fourteenth day for submitting the letter of compliance falls on Thanksgiving Day. The letter of compliance will need to be submitted prior to the facility closing for the Thanksgiving holiday or on the due date. The administrator stated that she will submit the letter of compliance prior to closure for the holiday. At nap time, staff need to watch the lighting in the classroom to ensure that they are able to see the children breathing and if their skin color is normal to ensure the children are not having difficulty breathing. Per phone conversation with the administrator, the staff member hired 3/4/2024 file was missing the medical report the administrator will review her emails for receipt of the medical report. If she is unable to locate the medical report via email, she will communicate with the staff member hired 3/4/2024 to work with her physician to schedule a visit to have the medical report completed or request a copy of the medical report. The administrator stated that she will keep me updated on the progress for achieving compliance. We also discussed the staff member hired 1/1/2018 professional development plan and staff evaluations were not completed annually. The administrator stated that she would have those completed within a week to achieve compliance. 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 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 25 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 260 Time In: 09:55 AM Time Out: 02:15 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 Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, on-site and 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-one percent (81%) as of 11/6/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, is current/active as of 11/6/2024. Permit type – Three Star Rated License, issued 7/8/2020. Special Services/Restrictions – first shift and meets enhanced ratios. The last annual compliance visit was conducted on 11/21/2023. The last fire drill was practiced on 9/9/2024. Due to tropical storm Helene a fire drill was not conducted for the month of October. A drill will need to be conducted by 11/30/2024. The last lockdown drill was practiced on 11/4/2024. The last playground inspection was documented on 11/6/2024. Due to tropical storm Helene, the facility is conducting indoor gross motor play. The playground has divots and holes that need to be repaired to prevent a child from tripping or getting injured. The facility needs new surfacing due to the surfacing washing away as a result of the storm. The last fire inspection was approved on 5/31/2024. The last sanitation inspection was conducted on 9/18/2024 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Ms. Davis. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. The facility is operating with an Emergency Operation Plan (EOP) for boil water notice that was approved by the Division and Environmental Health on 10/30/2024. Environmental Health conducted a disaster assessment on 10/29/2024, and site visit prior to re-opening on 11/4/2024. During the walk through, I monitored the indoor and outdoor spaces used by the children and the implementation of the EOP for boil water notice. In space # 1, the group of infants and one year old children were engaged in free play on the floor with rattles, blocks, and trucks. While monitoring the medications, I observed one (1)Desitin diaper cream expired 8/2024, and two (2) feeding plans were not signed and dated by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with riding toys, music, phones, and toy animals. While monitoring, I discussed with the teacher that two (2) diaper cream medication forms need to be updated by 11/17/2024. In space # 3, the group of three- to four-year-old children were engaged in free choice center play with books and dramatic play. While monitoring, the teacher and I discussed the need to add a gross motor activity to the activity plans. Under the outdoor play section, the activity plan listed music, we discussed that the activity listed should be related to gross motor play. In space # 4, the group of two and a half- to three-year-old children were engaged in free play with blocks, trucks, books, and dramatic play. While monitoring, I observed one (1) emergency medication that was not in a original pharmacy container with the pharmacy label. The emergency medication did not have the permission to administer medication form, and the action plan expired on 10/3/2024. The action plan was unable to be updated on time due to tropical storm Helene. The staff were moving about the indoor area and actively supervising the children. While monitoring the outdoor space, I did observe the playground damage that the facility sustained due to Tropical Storm Helene. The facility is unable to use the outdoor gross motor space due to the divots and holes throughout the playground. The facility is providing indoor gross motor play for the children. Ms. Davis and I discussed the need to develop a plan with a timeline to re-opening the playground for the children to use. Ms. Davis did reach out to Teresa Webb, Administrator via text during the visit to see if she had a tentative timeline in place. Ms. Webb responded and said that she was not sure when the playground would re-open due to funds and applying for a grant. The facility needs the funds in order to move forward with the playground repairs. The program does not provide transportation. The staff and children’s files were reviewed during the visit. A staff and training worksheet was completed for the staff files reviewed. The administrator will need to complete the staff and training worksheet for the remaining staff members and submit to me by close of business on 11/15/2024. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. .0803(2)(a) 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 # 1, one (1) diaper cream was observed that expired on 8/2024. In space #4, one (1) diaper cream medication form expired on 9/18/2024. .0803(12) 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. Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. .0604(q) 9995 A violation was found for which there is no item number. The kitchen staff was observed preparing without a hair net or hair restraint. Technical assistance was provided as follows: Item 541- In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. We discussed at enrollment to review the feeding plan with the parent and have the parent and teacher sign and date the feeding plan when it is received by the facility. 10A NCAC 09 .0902(a) Item #842- In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. We discussed that when a parent brings in a medication to review all the required paperwork to ensure that you have a completed permission to administer medication form, action plan, and the required medication. 10A NCAC 09 .0803(1) Item #844- In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. We discussed when medications are brought to the facility, they should be in the original container and if it is a prescribed medication, it must have a pharmacy label to accompany the medication. 10A NCAC 09 .0803(2)(a) Item #849- in space # 1, one (1) diaper cream was observed that expired on 8/2024. The staff removed the medication from the classroom during the visit. In space #4, one (1) diaper cream medication form expired on 9/18/2024. The staff removed the medication and form from the classroom during the visit. We discussed the need to review the medications monthly to ensure that the forms and medications are still valid to be administered. 10A NCAC 09 .0803(12) Item #858- Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. We discussed the need to ensure that all plastic bags, Ziploc bags, and easily torn items. 10A NCAC 09 .0604(q) Item #9995- The kitchen staff was observed preparing without a hair net or hair restraint. The staff member put on a hair net during the visit. We discussed the need to wear a hair net or hair restraint at all times during food preparation and service. 15A NCAC 18A .2808 (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 • Statement of compliance I must receive your compliance statement by 11/28/2024. 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 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 that the fourteenth day for submitting the letter of compliance falls on Thanksgiving Day. The letter of compliance will need to be submitted prior to the facility closing for the Thanksgiving holiday or on the due date. The administrator stated that she will submit the letter of compliance prior to closure for the holiday. At nap time, staff need to watch the lighting in the classroom to ensure that they are able to see the children breathing and if their skin color is normal to ensure the children are not having difficulty breathing. Per phone conversation with the administrator, the staff member hired 3/4/2024 file was missing the medical report the administrator will review her emails for receipt of the medical report. If she is unable to locate the medical report via email, she will communicate with the staff member hired 3/4/2024 to work with her physician to schedule a visit to have the medical report completed or request a copy of the medical report. The administrator stated that she will keep me updated on the progress for achieving compliance. We also discussed the staff member hired 1/1/2018 professional development plan and staff evaluations were not completed annually. The administrator stated that she would have those completed within a week to achieve compliance. 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 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 25 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 260 Time In: 09:55 AM Time Out: 02:15 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 Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, on-site and 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-one percent (81%) as of 11/6/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, is current/active as of 11/6/2024. Permit type – Three Star Rated License, issued 7/8/2020. Special Services/Restrictions – first shift and meets enhanced ratios. The last annual compliance visit was conducted on 11/21/2023. The last fire drill was practiced on 9/9/2024. Due to tropical storm Helene a fire drill was not conducted for the month of October. A drill will need to be conducted by 11/30/2024. The last lockdown drill was practiced on 11/4/2024. The last playground inspection was documented on 11/6/2024. Due to tropical storm Helene, the facility is conducting indoor gross motor play. The playground has divots and holes that need to be repaired to prevent a child from tripping or getting injured. The facility needs new surfacing due to the surfacing washing away as a result of the storm. The last fire inspection was approved on 5/31/2024. The last sanitation inspection was conducted on 9/18/2024 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Ms. Davis. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. The facility is operating with an Emergency Operation Plan (EOP) for boil water notice that was approved by the Division and Environmental Health on 10/30/2024. Environmental Health conducted a disaster assessment on 10/29/2024, and site visit prior to re-opening on 11/4/2024. During the walk through, I monitored the indoor and outdoor spaces used by the children and the implementation of the EOP for boil water notice. In space # 1, the group of infants and one year old children were engaged in free play on the floor with rattles, blocks, and trucks. While monitoring the medications, I observed one (1)Desitin diaper cream expired 8/2024, and two (2) feeding plans were not signed and dated by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with riding toys, music, phones, and toy animals. While monitoring, I discussed with the teacher that two (2) diaper cream medication forms need to be updated by 11/17/2024. In space # 3, the group of three- to four-year-old children were engaged in free choice center play with books and dramatic play. While monitoring, the teacher and I discussed the need to add a gross motor activity to the activity plans. Under the outdoor play section, the activity plan listed music, we discussed that the activity listed should be related to gross motor play. In space # 4, the group of two and a half- to three-year-old children were engaged in free play with blocks, trucks, books, and dramatic play. While monitoring, I observed one (1) emergency medication that was not in a original pharmacy container with the pharmacy label. The emergency medication did not have the permission to administer medication form, and the action plan expired on 10/3/2024. The action plan was unable to be updated on time due to tropical storm Helene. The staff were moving about the indoor area and actively supervising the children. While monitoring the outdoor space, I did observe the playground damage that the facility sustained due to Tropical Storm Helene. The facility is unable to use the outdoor gross motor space due to the divots and holes throughout the playground. The facility is providing indoor gross motor play for the children. Ms. Davis and I discussed the need to develop a plan with a timeline to re-opening the playground for the children to use. Ms. Davis did reach out to Teresa Webb, Administrator via text during the visit to see if she had a tentative timeline in place. Ms. Webb responded and said that she was not sure when the playground would re-open due to funds and applying for a grant. The facility needs the funds in order to move forward with the playground repairs. The program does not provide transportation. The staff and children’s files were reviewed during the visit. A staff and training worksheet was completed for the staff files reviewed. The administrator will need to complete the staff and training worksheet for the remaining staff members and submit to me by close of business on 11/15/2024. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. .0803(2)(a) 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 # 1, one (1) diaper cream was observed that expired on 8/2024. In space #4, one (1) diaper cream medication form expired on 9/18/2024. .0803(12) 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. Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. .0604(q) 9995 A violation was found for which there is no item number. The kitchen staff was observed preparing without a hair net or hair restraint. Technical assistance was provided as follows: Item 541- In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. We discussed at enrollment to review the feeding plan with the parent and have the parent and teacher sign and date the feeding plan when it is received by the facility. 10A NCAC 09 .0902(a) Item #842- In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. We discussed that when a parent brings in a medication to review all the required paperwork to ensure that you have a completed permission to administer medication form, action plan, and the required medication. 10A NCAC 09 .0803(1) Item #844- In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. We discussed when medications are brought to the facility, they should be in the original container and if it is a prescribed medication, it must have a pharmacy label to accompany the medication. 10A NCAC 09 .0803(2)(a) Item #849- in space # 1, one (1) diaper cream was observed that expired on 8/2024. The staff removed the medication from the classroom during the visit. In space #4, one (1) diaper cream medication form expired on 9/18/2024. The staff removed the medication and form from the classroom during the visit. We discussed the need to review the medications monthly to ensure that the forms and medications are still valid to be administered. 10A NCAC 09 .0803(12) Item #858- Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. We discussed the need to ensure that all plastic bags, Ziploc bags, and easily torn items. 10A NCAC 09 .0604(q) Item #9995- The kitchen staff was observed preparing without a hair net or hair restraint. The staff member put on a hair net during the visit. We discussed the need to wear a hair net or hair restraint at all times during food preparation and service. 15A NCAC 18A .2808 (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 • Statement of compliance I must receive your compliance statement by 11/28/2024. 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 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 that the fourteenth day for submitting the letter of compliance falls on Thanksgiving Day. The letter of compliance will need to be submitted prior to the facility closing for the Thanksgiving holiday or on the due date. The administrator stated that she will submit the letter of compliance prior to closure for the holiday. At nap time, staff need to watch the lighting in the classroom to ensure that they are able to see the children breathing and if their skin color is normal to ensure the children are not having difficulty breathing. Per phone conversation with the administrator, the staff member hired 3/4/2024 file was missing the medical report the administrator will review her emails for receipt of the medical report. If she is unable to locate the medical report via email, she will communicate with the staff member hired 3/4/2024 to work with her physician to schedule a visit to have the medical report completed or request a copy of the medical report. The administrator stated that she will keep me updated on the progress for achieving compliance. We also discussed the staff member hired 1/1/2018 professional development plan and staff evaluations were not completed annually. The administrator stated that she would have those completed within a week to achieve compliance. 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 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 25 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 260 Time In: 09:55 AM Time Out: 02:15 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 Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alicia Davis, Assistant Director, on-site and 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-one percent (81%) as of 11/6/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, is current/active as of 11/6/2024. Permit type – Three Star Rated License, issued 7/8/2020. Special Services/Restrictions – first shift and meets enhanced ratios. The last annual compliance visit was conducted on 11/21/2023. The last fire drill was practiced on 9/9/2024. Due to tropical storm Helene a fire drill was not conducted for the month of October. A drill will need to be conducted by 11/30/2024. The last lockdown drill was practiced on 11/4/2024. The last playground inspection was documented on 11/6/2024. Due to tropical storm Helene, the facility is conducting indoor gross motor play. The playground has divots and holes that need to be repaired to prevent a child from tripping or getting injured. The facility needs new surfacing due to the surfacing washing away as a result of the storm. The last fire inspection was approved on 5/31/2024. The last sanitation inspection was conducted on 9/18/2024 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Ms. Davis. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/4/2024. The facility is operating with an Emergency Operation Plan (EOP) for boil water notice that was approved by the Division and Environmental Health on 10/30/2024. Environmental Health conducted a disaster assessment on 10/29/2024, and site visit prior to re-opening on 11/4/2024. During the walk through, I monitored the indoor and outdoor spaces used by the children and the implementation of the EOP for boil water notice. In space # 1, the group of infants and one year old children were engaged in free play on the floor with rattles, blocks, and trucks. While monitoring the medications, I observed one (1)Desitin diaper cream expired 8/2024, and two (2) feeding plans were not signed and dated by the parents. In space # 2, the group of one- and two-year-old children were engaged in engaged in free play with riding toys, music, phones, and toy animals. While monitoring, I discussed with the teacher that two (2) diaper cream medication forms need to be updated by 11/17/2024. In space # 3, the group of three- to four-year-old children were engaged in free choice center play with books and dramatic play. While monitoring, the teacher and I discussed the need to add a gross motor activity to the activity plans. Under the outdoor play section, the activity plan listed music, we discussed that the activity listed should be related to gross motor play. In space # 4, the group of two and a half- to three-year-old children were engaged in free play with blocks, trucks, books, and dramatic play. While monitoring, I observed one (1) emergency medication that was not in a original pharmacy container with the pharmacy label. The emergency medication did not have the permission to administer medication form, and the action plan expired on 10/3/2024. The action plan was unable to be updated on time due to tropical storm Helene. The staff were moving about the indoor area and actively supervising the children. While monitoring the outdoor space, I did observe the playground damage that the facility sustained due to Tropical Storm Helene. The facility is unable to use the outdoor gross motor space due to the divots and holes throughout the playground. The facility is providing indoor gross motor play for the children. Ms. Davis and I discussed the need to develop a plan with a timeline to re-opening the playground for the children to use. Ms. Davis did reach out to Teresa Webb, Administrator via text during the visit to see if she had a tentative timeline in place. Ms. Webb responded and said that she was not sure when the playground would re-open due to funds and applying for a grant. The facility needs the funds in order to move forward with the playground repairs. The program does not provide transportation. The staff and children’s files were reviewed during the visit. A staff and training worksheet was completed for the staff files reviewed. The administrator will need to complete the staff and training worksheet for the remaining staff members and submit to me by close of business on 11/15/2024. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. .0803(2)(a) 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 # 1, one (1) diaper cream was observed that expired on 8/2024. In space #4, one (1) diaper cream medication form expired on 9/18/2024. .0803(12) 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. Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. .0604(q) 9995 A violation was found for which there is no item number. The kitchen staff was observed preparing without a hair net or hair restraint. Technical assistance was provided as follows: Item 541- In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility. We discussed at enrollment to review the feeding plan with the parent and have the parent and teacher sign and date the feeding plan when it is received by the facility. 10A NCAC 09 .0902(a) Item #842- In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed. We discussed that when a parent brings in a medication to review all the required paperwork to ensure that you have a completed permission to administer medication form, action plan, and the required medication. 10A NCAC 09 .0803(1) Item #844- In space #3, one (1) emergency medication was on-site without an original pharmacy label or container. We discussed when medications are brought to the facility, they should be in the original container and if it is a prescribed medication, it must have a pharmacy label to accompany the medication. 10A NCAC 09 .0803(2)(a) Item #849- in space # 1, one (1) diaper cream was observed that expired on 8/2024. The staff removed the medication from the classroom during the visit. In space #4, one (1) diaper cream medication form expired on 9/18/2024. The staff removed the medication and form from the classroom during the visit. We discussed the need to review the medications monthly to ensure that the forms and medications are still valid to be administered. 10A NCAC 09 .0803(12) Item #858- Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area. We discussed the need to ensure that all plastic bags, Ziploc bags, and easily torn items. 10A NCAC 09 .0604(q) Item #9995- The kitchen staff was observed preparing without a hair net or hair restraint. The staff member put on a hair net during the visit. We discussed the need to wear a hair net or hair restraint at all times during food preparation and service. 15A NCAC 18A .2808 (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 • Statement of compliance I must receive your compliance statement by 11/28/2024. 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 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 that the fourteenth day for submitting the letter of compliance falls on Thanksgiving Day. The letter of compliance will need to be submitted prior to the facility closing for the Thanksgiving holiday or on the due date. The administrator stated that she will submit the letter of compliance prior to closure for the holiday. At nap time, staff need to watch the lighting in the classroom to ensure that they are able to see the children breathing and if their skin color is normal to ensure the children are not having difficulty breathing. Per phone conversation with the administrator, the staff member hired 3/4/2024 file was missing the medical report the administrator will review her emails for receipt of the medical report. If she is unable to locate the medical report via email, she will communicate with the staff member hired 3/4/2024 to work with her physician to schedule a visit to have the medical report completed or request a copy of the medical report. The administrator stated that she will keep me updated on the progress for achieving compliance. We also discussed the staff member hired 1/1/2018 professional development plan and staff evaluations were not completed annually. The administrator stated that she would have those completed within a week to achieve compliance. 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 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/24/2024 Number Present: 33 Completed Date: 6/24/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Unannounced Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Davis was present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including supervision, staff child ratios, adequate and approved space, permit restrictions, medication, CPR/First Aid, staff records. During the Routine Unannounced visit conducted by Karla Terry, Child Care Consultant, on 6/5/24, fourteen (14) violations of Child Care requirements were documented. A letter of compliance was received by Karla Terry on 6/19/24. Compliance statements for several items were incomplete or unclear. Per procedures, we are required to conduct a follow-up visit if compliance is in certain. Upon arrival, I was greeted by Ms. Davis. In classroom space 1, there were five (5) infants present with two (2) caregivers. Children were being rocked and soother by caregivers and freely exploring their environment by crawling and walking. In classroom space 2, there were nine (9) one year old children present with two (2) caregivers. Children were preparing for breakfast. In classroom space 3, there were nine (9) children ages three to five years old with two (2) caregivers present. Children were engaged in free choice center play and were being soothed by caregivers. In classroom space 4, there were ten (10) children ages two to three years old with two (2) caregivers present. Children were exploring animal figurines and preparing to sit down at tables for breakfast. We discussed all violations cited from the Routine Unannounced visit on 6/5/24. The following items have been corrected: Item #106: The fire inspection was received on 5/31/24. A compliance statement for this item was received on 6/19/24. This is corrected. Item #721: This item was corrected during the visit on 6/5/24. Item #812: This item was corrected during the visit on 6/5/24. Item #841, 842, 844: A compliance statement for these items was received on 6/19/24. Item #714: The openings in the deck were closed by wooden posts. Compliance was confirmed during the visit today. This item is corrected. Item #849: All medications in classroom space 4 were discarded or sent home for replacements. The empty lock box was observed today. If replacement medications are sent in, plan to check the expiration date of the medication and ensure parents complete a permission form for the medication prior to administering the medication. The permission to administer A&D ointment in classroom space 2 was updated during the visit today. This is corrected. Compliance was unable to be confirmed for items #1048, #1049, #1052, #1897, #1898, #1899. Repeat violations were cited for these items today. 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 cited during the visit today: Violation Number Comment Rule 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. One (1) staff, hire date 1/17/24, did not complete First Aid training within ninety (90) days of hire. The First Aid training was due on 4/16/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, hire date 1/17/24, did not complete CPR training within ninety (90) days of hire. The CPR training was due on 4/16/24. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff, hire date 12/31/07, had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 1/17/24, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of hire. The training was due on 4/16/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff, hire date 4/1/23, and one (1) staff, hire date 5/2/23, did not complete Health and Safety Training within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff, hire date 3/15/18, did not complete Health and Safety training within five years of the previous completion. .1103(b) Technical Assistance Provided as follows: Item #1048 and #1049 You stated today that a First Aid/CPR training has been scheduled for the one (1) staff. The exact date was unable to be confirmed today. We discussed that if the training is scheduled for a date that exceeds the due date of compliance for this visit, a written request will be required for an extension. Please note, scheduled trainings are not in compliance. Compliance can only be confirmed once the training has been completed and a certificate is on 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. (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. Item #1052 A certificate is missing for one (1) hour for Administrator, TW. We checked Moodle during the visit today. The course for the missing one (1) hour was complete, however an evaluation was not submitted for the course, making the training certificate unavailable. We discussed that the Administrator will need to enroll in the Health and Safety training course for the 2024 trainings, as Health and Safety trainings from previous years are not available. Moving forward, plan to download, save, email or print certificates immediately upon completion, to avoid losing the certificate. We discussed the Administrator can also opt to receive the one (1) training hour from another source. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience: Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Education and Experience: Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Education and Experience: Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours Education and Experience: 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours Education and Experience: If none of the other criteria in this chart apply Required Training: 20 clock hours Item #1897 One (1) staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. Plan to provide a copy of the certificate with your letter of compliance. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #1898 We discussed the two (2) staff must complete Health and Safety Training immediately. Staff EP and SS both need the following topics completed to be in compliance: - Administration of medication, with standards for parental consent. - Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic. - Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event. - Handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment. We discussed staff do not need to complete the topic regarding transportation as you do not provide transportation to children. Item #1899 We discussed the staff must complete the remaining Health and Safety training topics immediately. Staff KW must complete the following topics: - Administration of medication, with standards for parental consent. - Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment. - Recognizing and reporting child abuse, child neglect and child maltreatment 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. We discussed the topic of Recognizing and reporting child abuse, child neglect and child maltreatment is completed on the website preventchildabusenc.org 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 7/8/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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 that a plan to complete trainings does not count as compliance. Violations resulting from incomplete trainings can only be counted as complete when the training certificate is on file. If additional time is needed for compliance due to situations such as scheduling issues, vacation or illness, a request for extension must be received in a timely manner. You can submit a request to extend the due date for compliance for a violation to your Child Care Consultant. The request must include the reason that compliance is unable to be achieved within the required timeframe and the new date that you expect compliance to be achieved. We discussed that extension requests are not always guaranteed, however communication is key to ensuring you have everything you need to work towards compliance. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .1103 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/24/2024 Number Present: 33 Completed Date: 6/24/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Unannounced Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Davis was present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including supervision, staff child ratios, adequate and approved space, permit restrictions, medication, CPR/First Aid, staff records. During the Routine Unannounced visit conducted by Karla Terry, Child Care Consultant, on 6/5/24, fourteen (14) violations of Child Care requirements were documented. A letter of compliance was received by Karla Terry on 6/19/24. Compliance statements for several items were incomplete or unclear. Per procedures, we are required to conduct a follow-up visit if compliance is in certain. Upon arrival, I was greeted by Ms. Davis. In classroom space 1, there were five (5) infants present with two (2) caregivers. Children were being rocked and soother by caregivers and freely exploring their environment by crawling and walking. In classroom space 2, there were nine (9) one year old children present with two (2) caregivers. Children were preparing for breakfast. In classroom space 3, there were nine (9) children ages three to five years old with two (2) caregivers present. Children were engaged in free choice center play and were being soothed by caregivers. In classroom space 4, there were ten (10) children ages two to three years old with two (2) caregivers present. Children were exploring animal figurines and preparing to sit down at tables for breakfast. We discussed all violations cited from the Routine Unannounced visit on 6/5/24. The following items have been corrected: Item #106: The fire inspection was received on 5/31/24. A compliance statement for this item was received on 6/19/24. This is corrected. Item #721: This item was corrected during the visit on 6/5/24. Item #812: This item was corrected during the visit on 6/5/24. Item #841, 842, 844: A compliance statement for these items was received on 6/19/24. Item #714: The openings in the deck were closed by wooden posts. Compliance was confirmed during the visit today. This item is corrected. Item #849: All medications in classroom space 4 were discarded or sent home for replacements. The empty lock box was observed today. If replacement medications are sent in, plan to check the expiration date of the medication and ensure parents complete a permission form for the medication prior to administering the medication. The permission to administer A&D ointment in classroom space 2 was updated during the visit today. This is corrected. Compliance was unable to be confirmed for items #1048, #1049, #1052, #1897, #1898, #1899. Repeat violations were cited for these items today. 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 cited during the visit today: Violation Number Comment Rule 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. One (1) staff, hire date 1/17/24, did not complete First Aid training within ninety (90) days of hire. The First Aid training was due on 4/16/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, hire date 1/17/24, did not complete CPR training within ninety (90) days of hire. The CPR training was due on 4/16/24. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff, hire date 12/31/07, had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 1/17/24, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of hire. The training was due on 4/16/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff, hire date 4/1/23, and one (1) staff, hire date 5/2/23, did not complete Health and Safety Training within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff, hire date 3/15/18, did not complete Health and Safety training within five years of the previous completion. .1103(b) Technical Assistance Provided as follows: Item #1048 and #1049 You stated today that a First Aid/CPR training has been scheduled for the one (1) staff. The exact date was unable to be confirmed today. We discussed that if the training is scheduled for a date that exceeds the due date of compliance for this visit, a written request will be required for an extension. Please note, scheduled trainings are not in compliance. Compliance can only be confirmed once the training has been completed and a certificate is on 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. (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. Item #1052 A certificate is missing for one (1) hour for Administrator, TW. We checked Moodle during the visit today. The course for the missing one (1) hour was complete, however an evaluation was not submitted for the course, making the training certificate unavailable. We discussed that the Administrator will need to enroll in the Health and Safety training course for the 2024 trainings, as Health and Safety trainings from previous years are not available. Moving forward, plan to download, save, email or print certificates immediately upon completion, to avoid losing the certificate. We discussed the Administrator can also opt to receive the one (1) training hour from another source. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience: Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Education and Experience: Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Education and Experience: Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours Education and Experience: 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours Education and Experience: If none of the other criteria in this chart apply Required Training: 20 clock hours Item #1897 One (1) staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. Plan to provide a copy of the certificate with your letter of compliance. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #1898 We discussed the two (2) staff must complete Health and Safety Training immediately. Staff EP and SS both need the following topics completed to be in compliance: - Administration of medication, with standards for parental consent. - Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic. - Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event. - Handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment. We discussed staff do not need to complete the topic regarding transportation as you do not provide transportation to children. Item #1899 We discussed the staff must complete the remaining Health and Safety training topics immediately. Staff KW must complete the following topics: - Administration of medication, with standards for parental consent. - Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment. - Recognizing and reporting child abuse, child neglect and child maltreatment 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. We discussed the topic of Recognizing and reporting child abuse, child neglect and child maltreatment is completed on the website preventchildabusenc.org 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 7/8/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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 that a plan to complete trainings does not count as compliance. Violations resulting from incomplete trainings can only be counted as complete when the training certificate is on file. If additional time is needed for compliance due to situations such as scheduling issues, vacation or illness, a request for extension must be received in a timely manner. You can submit a request to extend the due date for compliance for a violation to your Child Care Consultant. The request must include the reason that compliance is unable to be achieved within the required timeframe and the new date that you expect compliance to be achieved. We discussed that extension requests are not always guaranteed, however communication is key to ensuring you have everything you need to work towards compliance. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/24/2024 Number Present: 33 Completed Date: 6/24/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Unannounced Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alicia Davis, Assistant Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Davis was present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including supervision, staff child ratios, adequate and approved space, permit restrictions, medication, CPR/First Aid, staff records. During the Routine Unannounced visit conducted by Karla Terry, Child Care Consultant, on 6/5/24, fourteen (14) violations of Child Care requirements were documented. A letter of compliance was received by Karla Terry on 6/19/24. Compliance statements for several items were incomplete or unclear. Per procedures, we are required to conduct a follow-up visit if compliance is in certain. Upon arrival, I was greeted by Ms. Davis. In classroom space 1, there were five (5) infants present with two (2) caregivers. Children were being rocked and soother by caregivers and freely exploring their environment by crawling and walking. In classroom space 2, there were nine (9) one year old children present with two (2) caregivers. Children were preparing for breakfast. In classroom space 3, there were nine (9) children ages three to five years old with two (2) caregivers present. Children were engaged in free choice center play and were being soothed by caregivers. In classroom space 4, there were ten (10) children ages two to three years old with two (2) caregivers present. Children were exploring animal figurines and preparing to sit down at tables for breakfast. We discussed all violations cited from the Routine Unannounced visit on 6/5/24. The following items have been corrected: Item #106: The fire inspection was received on 5/31/24. A compliance statement for this item was received on 6/19/24. This is corrected. Item #721: This item was corrected during the visit on 6/5/24. Item #812: This item was corrected during the visit on 6/5/24. Item #841, 842, 844: A compliance statement for these items was received on 6/19/24. Item #714: The openings in the deck were closed by wooden posts. Compliance was confirmed during the visit today. This item is corrected. Item #849: All medications in classroom space 4 were discarded or sent home for replacements. The empty lock box was observed today. If replacement medications are sent in, plan to check the expiration date of the medication and ensure parents complete a permission form for the medication prior to administering the medication. The permission to administer A&D ointment in classroom space 2 was updated during the visit today. This is corrected. Compliance was unable to be confirmed for items #1048, #1049, #1052, #1897, #1898, #1899. Repeat violations were cited for these items today. 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 cited during the visit today: Violation Number Comment Rule 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. One (1) staff, hire date 1/17/24, did not complete First Aid training within ninety (90) days of hire. The First Aid training was due on 4/16/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, hire date 1/17/24, did not complete CPR training within ninety (90) days of hire. The CPR training was due on 4/16/24. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff, hire date 12/31/07, had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 1/17/24, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of hire. The training was due on 4/16/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff, hire date 4/1/23, and one (1) staff, hire date 5/2/23, did not complete Health and Safety Training within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff, hire date 3/15/18, did not complete Health and Safety training within five years of the previous completion. .1103(b) Technical Assistance Provided as follows: Item #1048 and #1049 You stated today that a First Aid/CPR training has been scheduled for the one (1) staff. The exact date was unable to be confirmed today. We discussed that if the training is scheduled for a date that exceeds the due date of compliance for this visit, a written request will be required for an extension. Please note, scheduled trainings are not in compliance. Compliance can only be confirmed once the training has been completed and a certificate is on 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. (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. Item #1052 A certificate is missing for one (1) hour for Administrator, TW. We checked Moodle during the visit today. The course for the missing one (1) hour was complete, however an evaluation was not submitted for the course, making the training certificate unavailable. We discussed that the Administrator will need to enroll in the Health and Safety training course for the 2024 trainings, as Health and Safety trainings from previous years are not available. Moving forward, plan to download, save, email or print certificates immediately upon completion, to avoid losing the certificate. We discussed the Administrator can also opt to receive the one (1) training hour from another source. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience: Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Education and Experience: Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Education and Experience: Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours Education and Experience: 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours Education and Experience: If none of the other criteria in this chart apply Required Training: 20 clock hours Item #1897 One (1) staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. Plan to provide a copy of the certificate with your letter of compliance. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #1898 We discussed the two (2) staff must complete Health and Safety Training immediately. Staff EP and SS both need the following topics completed to be in compliance: - Administration of medication, with standards for parental consent. - Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic. - Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event. - Handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment. We discussed staff do not need to complete the topic regarding transportation as you do not provide transportation to children. Item #1899 We discussed the staff must complete the remaining Health and Safety training topics immediately. Staff KW must complete the following topics: - Administration of medication, with standards for parental consent. - Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment. - Recognizing and reporting child abuse, child neglect and child maltreatment 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. We discussed the topic of Recognizing and reporting child abuse, child neglect and child maltreatment is completed on the website preventchildabusenc.org 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 7/8/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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 that a plan to complete trainings does not count as compliance. Violations resulting from incomplete trainings can only be counted as complete when the training certificate is on file. If additional time is needed for compliance due to situations such as scheduling issues, vacation or illness, a request for extension must be received in a timely manner. You can submit a request to extend the due date for compliance for a violation to your Child Care Consultant. The request must include the reason that compliance is unable to be achieved within the required timeframe and the new date that you expect compliance to be achieved. We discussed that extension requests are not always guaranteed, however communication is key to ensuring you have everything you need to work towards compliance. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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 .0304 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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 .0601 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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 .0604 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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 .0605 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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 .1103 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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

G.S. 110-90 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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

G.S. 110-91 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 36 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:35 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Teresa Webb, Administrator, and Alicia Davis, Director. Your program currently operates with a Three (3) Star Rated License effective 7/8/2020. The permit restrictions were in compliance including first shift and meets enhanced ratios. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, East Asheville Academy, Inc, is active- not current as of 6/5/2024. I spoke with Ms. Davis regarding the status. According to the secretary of State website, the last annual filing was submitted on 4/20/2022. Teresa Webb, Administrator, and Alicia Davis, Director, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/21/2023. The following items were monitored today: 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/4/2024. Upon arrival, I greeted the Administrator. In space # 4, the group of three- to four-year-old children were engaged in free play with books, blocks, legos. After free play, the children cleaned up and prepare for lunch. After lunch the children transitioned to their cots for nap. While monitoring medications, I observed nine (9) medications and/or permission to administer medication forms that were expired. The staff were moving about the indoor area and actively supervising the children. In space # 1, the group of infants and one year old children were engaged in routine diaper change and tummy time. The staff were meeting the individual needs of the children. While monitoring medications, I observed one (1) prescription medication not stored in the original pharmacy labeled container. In space # 2, the group of one- and two-year-old children were engaged in outdoor gross motor play with balls, cars, and see saw. The staff were actively supervising the children. After gross motor play, the children came in to wash their hands and prepare for lunch. After lunch, the children went to their cots for nap. While monitoring medications, I observed one (1) permission to administer medication form that expired on 4/13/2024. In space # 3, the group of three- to five-year-old children were engaged in free choice center play with dramatic play, blocks, and cars. After free play, the children cleaned up and prepared lunch. After lunch, the children went to their cot for nap. All staff interactions were positive and nurturing. Lunch consisted of chicken nuggets, green beans, fruit cocktail, bread, and milk. The last fire drill was practiced on 5/31/2024. The last emergency drill, lockdown drill, was practiced on 4/2/2024. The last fire inspection was scheduled and unsatisfactory on 12/21/2023. The Fire Marshal and the Division met with the facility on 3/19/2024 to develop a plan to move forward with obtaining an approved fire inspection. An approved fire inspection was obtained on 5/31/2024. The program’s most recent sanitation inspection was completed on 8/30/2023, with twelve (12) demerits. The Emergency Medical Care Plan is posted and current. During the visit, an updated floor plan was obtained to reflect the new renovations required by the Fire Marshall. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. .0605(g) 721 All equipment and furnishings were not in good repair. Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. G.S. 110-91(6); .0601(b) 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 # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin prescription cream was observed in an unlocked basket. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. .0803(2)(a) 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. Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. .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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. .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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. .1103(b) Technical Assistance for Correction Plan: 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 with in twelve (12) months of the previous inspection. The last approved fire inspection on file is dated 12/29/2022. The facility did schedule a fire inspection in 2023. The inspection was conducted on 12/21/2023. However, the facility inspection was not approved. The facility and DCDEE met with the Fire Marshal to develop a plan to obtain compliance. An approved fire inspection was completed and received on 5/31/2024. I suggest documenting on your calendar to reach out to the Fire Marshal at least one (1) month prior to the previous inspection date to ensure that you are on the schedule. Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches. I recommend while conducting daily outdoor checks to ensure that there is no opening that a child could potentially get an arm or leg stuck. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges. The Director removed these items during the visit. While conducting outdoor checks, remove any broken items to ensure that a child does not get injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit. I recommend routinely checking all electrical outlets to ensure a safety outlet plug is in the unused outlet. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - Nystatin prescription cream was observed in an unlocked basket. Conduct a medication check to ensure all medications are stored appropriately. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (b) without written instructions from the child's parent, physician or other health professional; - Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container. I recommend updating your mediation policy to note that any prescription medication brought to the facility must be provided by the parents in the original pharmacy labeled container. 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. - Space #2, one (1) A&D ointment permission to administer medication form expired on 4/13/2024. Space #4, one (1) Destin expired 12/2023, one (1) Buttpaste diaper cream expired 12/2023, one (1) Babyganics sunscreen expired 2/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin permission to administer medication form expired 5/15/2024, one (1) antifungal cream permission to administer medication form expired 4/26/2024, one (1) A&D ointment permission to administer medication form expired 4/27/2024, one (1) Destin expired 5/2024, and one (1) Coppertone Pure and Simple permission to administer medication form expired 5/15/2024. I recommend conducting a monthly medication check to ensure each medication is still in compliance with expiration date and permission to administer medication forms authorizations dates. 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 hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification. I recommend documenting on a calendar the deadline for each staff members training dates. 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 hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours. I recommend pre-planning your trainings to obtain them throughout the year. Reach out to Buncombe County Partnership for Children to inquire about upcoming training opportunities. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (90) days of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) year of employment. I recommend documenting on a calendar the deadline for each staff members training dates. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date. I recommend documenting on a calendar the renewal date for each staff members trainings. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/19/2024. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - Updating the Secretary of State website to have the business current and active. - Criminal Background Check letter due to for staff member AM. - First Aid and CPR training is coming due for the following staff members: KW due 11/3/2024, AD due 11/3/2024, TW due 11/3/2024, and KD due 6/24/2024. - Health and Safety training is coming due for the following staff members: KD due 10/30/2024, AM due 10/11/2024, KH due 6/19/2024, MD due 9/20/2024. 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 me, 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 handwritten report of today’s visit was completed, due to connectivity issues. I reviewed the visit summary with you, and signed by Karla Terry, Child Care Consultant and also signed by Alicia Davis, Director during the visit. A handwritten copy of the visit summary was left 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 .0601 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 27 Completed Date: 11/21/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Teresa Webb, Administrator was on-site and available during the visit. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 11/16/2023 and reviewed with the administrator during the visit. The facilities compliance history was seventy-nine percent (79%). The North Carolina Secretary of State website was viewed prior to today’s visit. The state Business Corporation, East Asheville Academy, Inc, is current/active as of 11/16/2023. The facility operates with a Three (3) Star Rated License, issued 7/8/2020 with restrictions as follows: first shift and meets enhanced ratios. The last annual compliance visit was conducted on 12/8/2022. The last fire drill was practiced on 10/2/2023. The last lockdown drill was practiced on 10/3/2023. The last playground inspection was documented on 10/2/2023. The last fire inspection was approved on 12/29/2022. The last sanitation inspection was conducted on 8/30/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/29/2023. 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. Upon arrival, I greeted the Administrator. In space # 4, the group of two- to four-year-old children were engaged in free play and transitioned to story time with the teacher. The staff were moving about the indoor area. In space # 1, the group of infants and one year old children were engaged in individual feeding, play in the activity seat, and swinging. The staff were meeting the individual needs of the children. In space # 2, the group of one year old children were engaged in free choice cent play with the activity cars, toy trucks, Little Tikes play house, and soft toys. The staff were on the floor engaging in play. In space # 3, the group of three- to five-year-old children were engaged in free choice center play pretending to cook in the dramatic play center, rocking the baby dolls, playing with toy trucks, and coloring. All staff interactions were positive and nurturing. Lunch consisted of chicken tenders, carrots, fruit cocktail, and milk. All medications were monitored and met requirements. The program does not provide transportation. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside space #1, lattice was broken with sharp edges and could potentially cut a child. 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. In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. .2820(b) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside space #1, lattice was broken with sharp edges and could potentially cut a child. I suggest replacing the piece of lattice with new lattice or board. Until you are able to replace the broken lattice I suggest putting tape or a pool noodle over the area to prevent a child from being injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. I suggest having staff complete a room check to look at all outlets to ensure they are covered including power strips. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. I suggest having staff conduct a kitchen check to ensure all hazardous products are stored according to the warning label. 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 12/5/2023. 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Fire Inspection is due to be completed by 12/29/2023. - Locks for locking storage should be a combination or key locking device. - Emergency information for children is required to be reviewed annually by parents. Parents will need to sign and date when the form is reviewed. - Staff member TW currently has two (2) hours of training and is due a total of ten (10) hours by December 31, 2023. - Staff member MD hired 9/20/23 is due to complete First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment training by 12/19/2023. - Prescription diaper creams are required to be locked and staff will need to complete the permission to administer medication form for prescription medications. -Child LB Buttpaste will expire 12/2023. Parents will need to bring in a new tube. - Plastics staff will need to ensure all plastic packaging, wipe packaging is stored up five (5) feet in classrooms with children under three years of age. - Activity plans must be posted and current. It is best practice for staff to post activity plans prior to leaving on Fridays. - Staff member AM Health and Safety training are due by 10/11/24, ITS-SIDS is due by 12/11/2023, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/9/24. - Staff member KD Health and Safety training are due by 10/30/24, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/28/24. 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 27 Completed Date: 11/21/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Teresa Webb, Administrator was on-site and available during the visit. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 11/16/2023 and reviewed with the administrator during the visit. The facilities compliance history was seventy-nine percent (79%). The North Carolina Secretary of State website was viewed prior to today’s visit. The state Business Corporation, East Asheville Academy, Inc, is current/active as of 11/16/2023. The facility operates with a Three (3) Star Rated License, issued 7/8/2020 with restrictions as follows: first shift and meets enhanced ratios. The last annual compliance visit was conducted on 12/8/2022. The last fire drill was practiced on 10/2/2023. The last lockdown drill was practiced on 10/3/2023. The last playground inspection was documented on 10/2/2023. The last fire inspection was approved on 12/29/2022. The last sanitation inspection was conducted on 8/30/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/29/2023. 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. Upon arrival, I greeted the Administrator. In space # 4, the group of two- to four-year-old children were engaged in free play and transitioned to story time with the teacher. The staff were moving about the indoor area. In space # 1, the group of infants and one year old children were engaged in individual feeding, play in the activity seat, and swinging. The staff were meeting the individual needs of the children. In space # 2, the group of one year old children were engaged in free choice cent play with the activity cars, toy trucks, Little Tikes play house, and soft toys. The staff were on the floor engaging in play. In space # 3, the group of three- to five-year-old children were engaged in free choice center play pretending to cook in the dramatic play center, rocking the baby dolls, playing with toy trucks, and coloring. All staff interactions were positive and nurturing. Lunch consisted of chicken tenders, carrots, fruit cocktail, and milk. All medications were monitored and met requirements. The program does not provide transportation. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside space #1, lattice was broken with sharp edges and could potentially cut a child. 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. In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. .2820(b) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside space #1, lattice was broken with sharp edges and could potentially cut a child. I suggest replacing the piece of lattice with new lattice or board. Until you are able to replace the broken lattice I suggest putting tape or a pool noodle over the area to prevent a child from being injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. I suggest having staff complete a room check to look at all outlets to ensure they are covered including power strips. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. I suggest having staff conduct a kitchen check to ensure all hazardous products are stored according to the warning label. 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 12/5/2023. 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Fire Inspection is due to be completed by 12/29/2023. - Locks for locking storage should be a combination or key locking device. - Emergency information for children is required to be reviewed annually by parents. Parents will need to sign and date when the form is reviewed. - Staff member TW currently has two (2) hours of training and is due a total of ten (10) hours by December 31, 2023. - Staff member MD hired 9/20/23 is due to complete First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment training by 12/19/2023. - Prescription diaper creams are required to be locked and staff will need to complete the permission to administer medication form for prescription medications. -Child LB Buttpaste will expire 12/2023. Parents will need to bring in a new tube. - Plastics staff will need to ensure all plastic packaging, wipe packaging is stored up five (5) feet in classrooms with children under three years of age. - Activity plans must be posted and current. It is best practice for staff to post activity plans prior to leaving on Fridays. - Staff member AM Health and Safety training are due by 10/11/24, ITS-SIDS is due by 12/11/2023, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/9/24. - Staff member KD Health and Safety training are due by 10/30/24, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/28/24. 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 27 Completed Date: 11/21/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Teresa Webb, Administrator was on-site and available during the visit. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 11/16/2023 and reviewed with the administrator during the visit. The facilities compliance history was seventy-nine percent (79%). The North Carolina Secretary of State website was viewed prior to today’s visit. The state Business Corporation, East Asheville Academy, Inc, is current/active as of 11/16/2023. The facility operates with a Three (3) Star Rated License, issued 7/8/2020 with restrictions as follows: first shift and meets enhanced ratios. The last annual compliance visit was conducted on 12/8/2022. The last fire drill was practiced on 10/2/2023. The last lockdown drill was practiced on 10/3/2023. The last playground inspection was documented on 10/2/2023. The last fire inspection was approved on 12/29/2022. The last sanitation inspection was conducted on 8/30/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/29/2023. 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. Upon arrival, I greeted the Administrator. In space # 4, the group of two- to four-year-old children were engaged in free play and transitioned to story time with the teacher. The staff were moving about the indoor area. In space # 1, the group of infants and one year old children were engaged in individual feeding, play in the activity seat, and swinging. The staff were meeting the individual needs of the children. In space # 2, the group of one year old children were engaged in free choice cent play with the activity cars, toy trucks, Little Tikes play house, and soft toys. The staff were on the floor engaging in play. In space # 3, the group of three- to five-year-old children were engaged in free choice center play pretending to cook in the dramatic play center, rocking the baby dolls, playing with toy trucks, and coloring. All staff interactions were positive and nurturing. Lunch consisted of chicken tenders, carrots, fruit cocktail, and milk. All medications were monitored and met requirements. The program does not provide transportation. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside space #1, lattice was broken with sharp edges and could potentially cut a child. 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. In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. .2820(b) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside space #1, lattice was broken with sharp edges and could potentially cut a child. I suggest replacing the piece of lattice with new lattice or board. Until you are able to replace the broken lattice I suggest putting tape or a pool noodle over the area to prevent a child from being injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. I suggest having staff complete a room check to look at all outlets to ensure they are covered including power strips. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. I suggest having staff conduct a kitchen check to ensure all hazardous products are stored according to the warning label. 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 12/5/2023. 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Fire Inspection is due to be completed by 12/29/2023. - Locks for locking storage should be a combination or key locking device. - Emergency information for children is required to be reviewed annually by parents. Parents will need to sign and date when the form is reviewed. - Staff member TW currently has two (2) hours of training and is due a total of ten (10) hours by December 31, 2023. - Staff member MD hired 9/20/23 is due to complete First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment training by 12/19/2023. - Prescription diaper creams are required to be locked and staff will need to complete the permission to administer medication form for prescription medications. -Child LB Buttpaste will expire 12/2023. Parents will need to bring in a new tube. - Plastics staff will need to ensure all plastic packaging, wipe packaging is stored up five (5) feet in classrooms with children under three years of age. - Activity plans must be posted and current. It is best practice for staff to post activity plans prior to leaving on Fridays. - Staff member AM Health and Safety training are due by 10/11/24, ITS-SIDS is due by 12/11/2023, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/9/24. - Staff member KD Health and Safety training are due by 10/30/24, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/28/24. 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 27 Completed Date: 11/21/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Teresa Webb, Administrator was on-site and available during the visit. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 11/16/2023 and reviewed with the administrator during the visit. The facilities compliance history was seventy-nine percent (79%). The North Carolina Secretary of State website was viewed prior to today’s visit. The state Business Corporation, East Asheville Academy, Inc, is current/active as of 11/16/2023. The facility operates with a Three (3) Star Rated License, issued 7/8/2020 with restrictions as follows: first shift and meets enhanced ratios. The last annual compliance visit was conducted on 12/8/2022. The last fire drill was practiced on 10/2/2023. The last lockdown drill was practiced on 10/3/2023. The last playground inspection was documented on 10/2/2023. The last fire inspection was approved on 12/29/2022. The last sanitation inspection was conducted on 8/30/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/29/2023. 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. Upon arrival, I greeted the Administrator. In space # 4, the group of two- to four-year-old children were engaged in free play and transitioned to story time with the teacher. The staff were moving about the indoor area. In space # 1, the group of infants and one year old children were engaged in individual feeding, play in the activity seat, and swinging. The staff were meeting the individual needs of the children. In space # 2, the group of one year old children were engaged in free choice cent play with the activity cars, toy trucks, Little Tikes play house, and soft toys. The staff were on the floor engaging in play. In space # 3, the group of three- to five-year-old children were engaged in free choice center play pretending to cook in the dramatic play center, rocking the baby dolls, playing with toy trucks, and coloring. All staff interactions were positive and nurturing. Lunch consisted of chicken tenders, carrots, fruit cocktail, and milk. All medications were monitored and met requirements. The program does not provide transportation. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside space #1, lattice was broken with sharp edges and could potentially cut a child. 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. In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. .2820(b) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside space #1, lattice was broken with sharp edges and could potentially cut a child. I suggest replacing the piece of lattice with new lattice or board. Until you are able to replace the broken lattice I suggest putting tape or a pool noodle over the area to prevent a child from being injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. I suggest having staff complete a room check to look at all outlets to ensure they are covered including power strips. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. I suggest having staff conduct a kitchen check to ensure all hazardous products are stored according to the warning label. 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 12/5/2023. 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Fire Inspection is due to be completed by 12/29/2023. - Locks for locking storage should be a combination or key locking device. - Emergency information for children is required to be reviewed annually by parents. Parents will need to sign and date when the form is reviewed. - Staff member TW currently has two (2) hours of training and is due a total of ten (10) hours by December 31, 2023. - Staff member MD hired 9/20/23 is due to complete First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment training by 12/19/2023. - Prescription diaper creams are required to be locked and staff will need to complete the permission to administer medication form for prescription medications. -Child LB Buttpaste will expire 12/2023. Parents will need to bring in a new tube. - Plastics staff will need to ensure all plastic packaging, wipe packaging is stored up five (5) feet in classrooms with children under three years of age. - Activity plans must be posted and current. It is best practice for staff to post activity plans prior to leaving on Fridays. - Staff member AM Health and Safety training are due by 10/11/24, ITS-SIDS is due by 12/11/2023, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/9/24. - Staff member KD Health and Safety training are due by 10/30/24, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/28/24. 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 27 Completed Date: 11/21/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Teresa Webb, Administrator was on-site and available during the visit. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 11/16/2023 and reviewed with the administrator during the visit. The facilities compliance history was seventy-nine percent (79%). The North Carolina Secretary of State website was viewed prior to today’s visit. The state Business Corporation, East Asheville Academy, Inc, is current/active as of 11/16/2023. The facility operates with a Three (3) Star Rated License, issued 7/8/2020 with restrictions as follows: first shift and meets enhanced ratios. The last annual compliance visit was conducted on 12/8/2022. The last fire drill was practiced on 10/2/2023. The last lockdown drill was practiced on 10/3/2023. The last playground inspection was documented on 10/2/2023. The last fire inspection was approved on 12/29/2022. The last sanitation inspection was conducted on 8/30/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/29/2023. 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. Upon arrival, I greeted the Administrator. In space # 4, the group of two- to four-year-old children were engaged in free play and transitioned to story time with the teacher. The staff were moving about the indoor area. In space # 1, the group of infants and one year old children were engaged in individual feeding, play in the activity seat, and swinging. The staff were meeting the individual needs of the children. In space # 2, the group of one year old children were engaged in free choice cent play with the activity cars, toy trucks, Little Tikes play house, and soft toys. The staff were on the floor engaging in play. In space # 3, the group of three- to five-year-old children were engaged in free choice center play pretending to cook in the dramatic play center, rocking the baby dolls, playing with toy trucks, and coloring. All staff interactions were positive and nurturing. Lunch consisted of chicken tenders, carrots, fruit cocktail, and milk. All medications were monitored and met requirements. The program does not provide transportation. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside space #1, lattice was broken with sharp edges and could potentially cut a child. 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. In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. .2820(b) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside space #1, lattice was broken with sharp edges and could potentially cut a child. I suggest replacing the piece of lattice with new lattice or board. Until you are able to replace the broken lattice I suggest putting tape or a pool noodle over the area to prevent a child from being injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. I suggest having staff complete a room check to look at all outlets to ensure they are covered including power strips. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. I suggest having staff conduct a kitchen check to ensure all hazardous products are stored according to the warning label. 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 12/5/2023. 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Fire Inspection is due to be completed by 12/29/2023. - Locks for locking storage should be a combination or key locking device. - Emergency information for children is required to be reviewed annually by parents. Parents will need to sign and date when the form is reviewed. - Staff member TW currently has two (2) hours of training and is due a total of ten (10) hours by December 31, 2023. - Staff member MD hired 9/20/23 is due to complete First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment training by 12/19/2023. - Prescription diaper creams are required to be locked and staff will need to complete the permission to administer medication form for prescription medications. -Child LB Buttpaste will expire 12/2023. Parents will need to bring in a new tube. - Plastics staff will need to ensure all plastic packaging, wipe packaging is stored up five (5) feet in classrooms with children under three years of age. - Activity plans must be posted and current. It is best practice for staff to post activity plans prior to leaving on Fridays. - Staff member AM Health and Safety training are due by 10/11/24, ITS-SIDS is due by 12/11/2023, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/9/24. - Staff member KD Health and Safety training are due by 10/30/24, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/28/24. 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 27 Completed Date: 11/21/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Teresa Webb, Administrator was on-site and available during the visit. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 11/16/2023 and reviewed with the administrator during the visit. The facilities compliance history was seventy-nine percent (79%). The North Carolina Secretary of State website was viewed prior to today’s visit. The state Business Corporation, East Asheville Academy, Inc, is current/active as of 11/16/2023. The facility operates with a Three (3) Star Rated License, issued 7/8/2020 with restrictions as follows: first shift and meets enhanced ratios. The last annual compliance visit was conducted on 12/8/2022. The last fire drill was practiced on 10/2/2023. The last lockdown drill was practiced on 10/3/2023. The last playground inspection was documented on 10/2/2023. The last fire inspection was approved on 12/29/2022. The last sanitation inspection was conducted on 8/30/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/29/2023. 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. Upon arrival, I greeted the Administrator. In space # 4, the group of two- to four-year-old children were engaged in free play and transitioned to story time with the teacher. The staff were moving about the indoor area. In space # 1, the group of infants and one year old children were engaged in individual feeding, play in the activity seat, and swinging. The staff were meeting the individual needs of the children. In space # 2, the group of one year old children were engaged in free choice cent play with the activity cars, toy trucks, Little Tikes play house, and soft toys. The staff were on the floor engaging in play. In space # 3, the group of three- to five-year-old children were engaged in free choice center play pretending to cook in the dramatic play center, rocking the baby dolls, playing with toy trucks, and coloring. All staff interactions were positive and nurturing. Lunch consisted of chicken tenders, carrots, fruit cocktail, and milk. All medications were monitored and met requirements. The program does not provide transportation. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside space #1, lattice was broken with sharp edges and could potentially cut a child. 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. In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. .2820(b) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside space #1, lattice was broken with sharp edges and could potentially cut a child. I suggest replacing the piece of lattice with new lattice or board. Until you are able to replace the broken lattice I suggest putting tape or a pool noodle over the area to prevent a child from being injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. I suggest having staff complete a room check to look at all outlets to ensure they are covered including power strips. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. I suggest having staff conduct a kitchen check to ensure all hazardous products are stored according to the warning label. 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 12/5/2023. 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Fire Inspection is due to be completed by 12/29/2023. - Locks for locking storage should be a combination or key locking device. - Emergency information for children is required to be reviewed annually by parents. Parents will need to sign and date when the form is reviewed. - Staff member TW currently has two (2) hours of training and is due a total of ten (10) hours by December 31, 2023. - Staff member MD hired 9/20/23 is due to complete First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment training by 12/19/2023. - Prescription diaper creams are required to be locked and staff will need to complete the permission to administer medication form for prescription medications. -Child LB Buttpaste will expire 12/2023. Parents will need to bring in a new tube. - Plastics staff will need to ensure all plastic packaging, wipe packaging is stored up five (5) feet in classrooms with children under three years of age. - Activity plans must be posted and current. It is best practice for staff to post activity plans prior to leaving on Fridays. - Staff member AM Health and Safety training are due by 10/11/24, ITS-SIDS is due by 12/11/2023, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/9/24. - Staff member KD Health and Safety training are due by 10/30/24, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/28/24. 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 27 Completed Date: 11/21/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Teresa Webb, Administrator was on-site and available during the visit. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 11/16/2023 and reviewed with the administrator during the visit. The facilities compliance history was seventy-nine percent (79%). The North Carolina Secretary of State website was viewed prior to today’s visit. The state Business Corporation, East Asheville Academy, Inc, is current/active as of 11/16/2023. The facility operates with a Three (3) Star Rated License, issued 7/8/2020 with restrictions as follows: first shift and meets enhanced ratios. The last annual compliance visit was conducted on 12/8/2022. The last fire drill was practiced on 10/2/2023. The last lockdown drill was practiced on 10/3/2023. The last playground inspection was documented on 10/2/2023. The last fire inspection was approved on 12/29/2022. The last sanitation inspection was conducted on 8/30/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/29/2023. 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. Upon arrival, I greeted the Administrator. In space # 4, the group of two- to four-year-old children were engaged in free play and transitioned to story time with the teacher. The staff were moving about the indoor area. In space # 1, the group of infants and one year old children were engaged in individual feeding, play in the activity seat, and swinging. The staff were meeting the individual needs of the children. In space # 2, the group of one year old children were engaged in free choice cent play with the activity cars, toy trucks, Little Tikes play house, and soft toys. The staff were on the floor engaging in play. In space # 3, the group of three- to five-year-old children were engaged in free choice center play pretending to cook in the dramatic play center, rocking the baby dolls, playing with toy trucks, and coloring. All staff interactions were positive and nurturing. Lunch consisted of chicken tenders, carrots, fruit cocktail, and milk. All medications were monitored and met requirements. The program does not provide transportation. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside space #1, lattice was broken with sharp edges and could potentially cut a child. 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. In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. .2820(b) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside space #1, lattice was broken with sharp edges and could potentially cut a child. I suggest replacing the piece of lattice with new lattice or board. Until you are able to replace the broken lattice I suggest putting tape or a pool noodle over the area to prevent a child from being injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. I suggest having staff complete a room check to look at all outlets to ensure they are covered including power strips. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. I suggest having staff conduct a kitchen check to ensure all hazardous products are stored according to the warning label. 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 12/5/2023. 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Fire Inspection is due to be completed by 12/29/2023. - Locks for locking storage should be a combination or key locking device. - Emergency information for children is required to be reviewed annually by parents. Parents will need to sign and date when the form is reviewed. - Staff member TW currently has two (2) hours of training and is due a total of ten (10) hours by December 31, 2023. - Staff member MD hired 9/20/23 is due to complete First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment training by 12/19/2023. - Prescription diaper creams are required to be locked and staff will need to complete the permission to administer medication form for prescription medications. -Child LB Buttpaste will expire 12/2023. Parents will need to bring in a new tube. - Plastics staff will need to ensure all plastic packaging, wipe packaging is stored up five (5) feet in classrooms with children under three years of age. - Activity plans must be posted and current. It is best practice for staff to post activity plans prior to leaving on Fridays. - Staff member AM Health and Safety training are due by 10/11/24, ITS-SIDS is due by 12/11/2023, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/9/24. - Staff member KD Health and Safety training are due by 10/30/24, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/28/24. 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 27 Completed Date: 11/21/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Teresa Webb, Administrator was on-site and available during the visit. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 11/16/2023 and reviewed with the administrator during the visit. The facilities compliance history was seventy-nine percent (79%). The North Carolina Secretary of State website was viewed prior to today’s visit. The state Business Corporation, East Asheville Academy, Inc, is current/active as of 11/16/2023. The facility operates with a Three (3) Star Rated License, issued 7/8/2020 with restrictions as follows: first shift and meets enhanced ratios. The last annual compliance visit was conducted on 12/8/2022. The last fire drill was practiced on 10/2/2023. The last lockdown drill was practiced on 10/3/2023. The last playground inspection was documented on 10/2/2023. The last fire inspection was approved on 12/29/2022. The last sanitation inspection was conducted on 8/30/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/29/2023. 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. Upon arrival, I greeted the Administrator. In space # 4, the group of two- to four-year-old children were engaged in free play and transitioned to story time with the teacher. The staff were moving about the indoor area. In space # 1, the group of infants and one year old children were engaged in individual feeding, play in the activity seat, and swinging. The staff were meeting the individual needs of the children. In space # 2, the group of one year old children were engaged in free choice cent play with the activity cars, toy trucks, Little Tikes play house, and soft toys. The staff were on the floor engaging in play. In space # 3, the group of three- to five-year-old children were engaged in free choice center play pretending to cook in the dramatic play center, rocking the baby dolls, playing with toy trucks, and coloring. All staff interactions were positive and nurturing. Lunch consisted of chicken tenders, carrots, fruit cocktail, and milk. All medications were monitored and met requirements. The program does not provide transportation. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside space #1, lattice was broken with sharp edges and could potentially cut a child. 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. In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. .2820(b) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside space #1, lattice was broken with sharp edges and could potentially cut a child. I suggest replacing the piece of lattice with new lattice or board. Until you are able to replace the broken lattice I suggest putting tape or a pool noodle over the area to prevent a child from being injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. I suggest having staff complete a room check to look at all outlets to ensure they are covered including power strips. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. I suggest having staff conduct a kitchen check to ensure all hazardous products are stored according to the warning label. 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 12/5/2023. 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Fire Inspection is due to be completed by 12/29/2023. - Locks for locking storage should be a combination or key locking device. - Emergency information for children is required to be reviewed annually by parents. Parents will need to sign and date when the form is reviewed. - Staff member TW currently has two (2) hours of training and is due a total of ten (10) hours by December 31, 2023. - Staff member MD hired 9/20/23 is due to complete First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment training by 12/19/2023. - Prescription diaper creams are required to be locked and staff will need to complete the permission to administer medication form for prescription medications. -Child LB Buttpaste will expire 12/2023. Parents will need to bring in a new tube. - Plastics staff will need to ensure all plastic packaging, wipe packaging is stored up five (5) feet in classrooms with children under three years of age. - Activity plans must be posted and current. It is best practice for staff to post activity plans prior to leaving on Fridays. - Staff member AM Health and Safety training are due by 10/11/24, ITS-SIDS is due by 12/11/2023, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/9/24. - Staff member KD Health and Safety training are due by 10/30/24, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/28/24. 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 27 Completed Date: 11/21/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Teresa Webb, Administrator was on-site and available during the visit. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 11/16/2023 and reviewed with the administrator during the visit. The facilities compliance history was seventy-nine percent (79%). The North Carolina Secretary of State website was viewed prior to today’s visit. The state Business Corporation, East Asheville Academy, Inc, is current/active as of 11/16/2023. The facility operates with a Three (3) Star Rated License, issued 7/8/2020 with restrictions as follows: first shift and meets enhanced ratios. The last annual compliance visit was conducted on 12/8/2022. The last fire drill was practiced on 10/2/2023. The last lockdown drill was practiced on 10/3/2023. The last playground inspection was documented on 10/2/2023. The last fire inspection was approved on 12/29/2022. The last sanitation inspection was conducted on 8/30/2023 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/29/2023. 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. Upon arrival, I greeted the Administrator. In space # 4, the group of two- to four-year-old children were engaged in free play and transitioned to story time with the teacher. The staff were moving about the indoor area. In space # 1, the group of infants and one year old children were engaged in individual feeding, play in the activity seat, and swinging. The staff were meeting the individual needs of the children. In space # 2, the group of one year old children were engaged in free choice cent play with the activity cars, toy trucks, Little Tikes play house, and soft toys. The staff were on the floor engaging in play. In space # 3, the group of three- to five-year-old children were engaged in free choice center play pretending to cook in the dramatic play center, rocking the baby dolls, playing with toy trucks, and coloring. All staff interactions were positive and nurturing. Lunch consisted of chicken tenders, carrots, fruit cocktail, and milk. All medications were monitored and met requirements. The program does not provide transportation. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside space #1, lattice was broken with sharp edges and could potentially cut a child. 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. In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. .2820(b) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside space #1, lattice was broken with sharp edges and could potentially cut a child. I suggest replacing the piece of lattice with new lattice or board. Until you are able to replace the broken lattice I suggest putting tape or a pool noodle over the area to prevent a child from being injured. Item #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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit. I suggest having staff complete a room check to look at all outlets to ensure they are covered including power strips. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit. I suggest having staff conduct a kitchen check to ensure all hazardous products are stored according to the warning label. 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 12/5/2023. 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Fire Inspection is due to be completed by 12/29/2023. - Locks for locking storage should be a combination or key locking device. - Emergency information for children is required to be reviewed annually by parents. Parents will need to sign and date when the form is reviewed. - Staff member TW currently has two (2) hours of training and is due a total of ten (10) hours by December 31, 2023. - Staff member MD hired 9/20/23 is due to complete First Aid and CPR and Recognizing and Responding to Suspicions of Child Maltreatment training by 12/19/2023. - Prescription diaper creams are required to be locked and staff will need to complete the permission to administer medication form for prescription medications. -Child LB Buttpaste will expire 12/2023. Parents will need to bring in a new tube. - Plastics staff will need to ensure all plastic packaging, wipe packaging is stored up five (5) feet in classrooms with children under three years of age. - Activity plans must be posted and current. It is best practice for staff to post activity plans prior to leaving on Fridays. - Staff member AM Health and Safety training are due by 10/11/24, ITS-SIDS is due by 12/11/2023, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/9/24. - Staff member KD Health and Safety training are due by 10/30/24, Recognizing and Responding to Suspicions of Child Maltreatment is due by 1/28/24. 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. 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 .0902 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 41 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 75 Time In: 10:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced Today an unannounced follow-up visit was completed at this Three (3) Star Rated License facility to monitor compliance and discuss the compliance history. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Teresa Webb, Administrator was on-site and available to answer questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-four percentage (74%) as of 7/28/2023. The administrator and I discussed the low compliance history, ways to prevent any reoccurring violations, and review resources. During today’s visit, in space #4, the group of two- to four-year-old children were transitioning to the carpet after breakfast to look at books. After looking at books the group prepared to go outside for gross motor play. In space #1, the group of infants one (1) child was in a Graco rocker eating a bottle, one (1) child was being fed their bottle by the staff member, and three (3) were engaged in free choice play on the floor. In space # 2, the group of one- to two-year-old children were engaged in free choice center play. The staff member was conducting routine diaper change. In space # 3, the group of four- to five-year-old children were engaged in free choice center play with musical instruments, locks, legos, and dancing. All staff interactions were positive and nurturing. 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 violation was documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. 10A NCAC 09 .0902(b) Technical Assistance was provided in the following areas: Item 532 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. - In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 8/16/2023. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - I recommend adding a rubber mat to the end of the ramp to help keep the concrete from being exposed. - Remind staff to complete the sign-in and out sheets as children arrive. - I am available to provide the staff with training to assist with improving your compliance history score. 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 me, 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 41 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 75 Time In: 10:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced Today an unannounced follow-up visit was completed at this Three (3) Star Rated License facility to monitor compliance and discuss the compliance history. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Teresa Webb, Administrator was on-site and available to answer questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-four percentage (74%) as of 7/28/2023. The administrator and I discussed the low compliance history, ways to prevent any reoccurring violations, and review resources. During today’s visit, in space #4, the group of two- to four-year-old children were transitioning to the carpet after breakfast to look at books. After looking at books the group prepared to go outside for gross motor play. In space #1, the group of infants one (1) child was in a Graco rocker eating a bottle, one (1) child was being fed their bottle by the staff member, and three (3) were engaged in free choice play on the floor. In space # 2, the group of one- to two-year-old children were engaged in free choice center play. The staff member was conducting routine diaper change. In space # 3, the group of four- to five-year-old children were engaged in free choice center play with musical instruments, locks, legos, and dancing. All staff interactions were positive and nurturing. 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 violation was documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. 10A NCAC 09 .0902(b) Technical Assistance was provided in the following areas: Item 532 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. - In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 8/16/2023. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - I recommend adding a rubber mat to the end of the ramp to help keep the concrete from being exposed. - Remind staff to complete the sign-in and out sheets as children arrive. - I am available to provide the staff with training to assist with improving your compliance history score. 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 me, 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. 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 .0902 · Violation

Name of Operation: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 41 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 75 Time In: 10:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced Today an unannounced follow-up visit was completed at this Three (3) Star Rated License facility to monitor compliance and discuss the compliance history. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Teresa Webb, Administrator was on-site and available to answer questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-four percentage (74%) as of 7/28/2023. The administrator and I discussed the low compliance history, ways to prevent any reoccurring violations, and review resources. During today’s visit, in space #4, the group of two- to four-year-old children were transitioning to the carpet after breakfast to look at books. After looking at books the group prepared to go outside for gross motor play. In space #1, the group of infants one (1) child was in a Graco rocker eating a bottle, one (1) child was being fed their bottle by the staff member, and three (3) were engaged in free choice play on the floor. In space # 2, the group of one- to two-year-old children were engaged in free choice center play. The staff member was conducting routine diaper change. In space # 3, the group of four- to five-year-old children were engaged in free choice center play with musical instruments, locks, legos, and dancing. All staff interactions were positive and nurturing. 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 violation was documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. 10A NCAC 09 .0902(b) Technical Assistance was provided in the following areas: Item 532 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. - In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 8/16/2023. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - I recommend adding a rubber mat to the end of the ramp to help keep the concrete from being exposed. - Remind staff to complete the sign-in and out sheets as children arrive. - I am available to provide the staff with training to assist with improving your compliance history score. 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 me, 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 41 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 75 Time In: 10:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced Today an unannounced follow-up visit was completed at this Three (3) Star Rated License facility to monitor compliance and discuss the compliance history. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Teresa Webb, Administrator was on-site and available to answer questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-four percentage (74%) as of 7/28/2023. The administrator and I discussed the low compliance history, ways to prevent any reoccurring violations, and review resources. During today’s visit, in space #4, the group of two- to four-year-old children were transitioning to the carpet after breakfast to look at books. After looking at books the group prepared to go outside for gross motor play. In space #1, the group of infants one (1) child was in a Graco rocker eating a bottle, one (1) child was being fed their bottle by the staff member, and three (3) were engaged in free choice play on the floor. In space # 2, the group of one- to two-year-old children were engaged in free choice center play. The staff member was conducting routine diaper change. In space # 3, the group of four- to five-year-old children were engaged in free choice center play with musical instruments, locks, legos, and dancing. All staff interactions were positive and nurturing. 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 violation was documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. 10A NCAC 09 .0902(b) Technical Assistance was provided in the following areas: Item 532 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. - In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 8/16/2023. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - I recommend adding a rubber mat to the end of the ramp to help keep the concrete from being exposed. - Remind staff to complete the sign-in and out sheets as children arrive. - I am available to provide the staff with training to assist with improving your compliance history score. 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 me, 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 41 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 75 Time In: 10:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced Today an unannounced follow-up visit was completed at this Three (3) Star Rated License facility to monitor compliance and discuss the compliance history. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Teresa Webb, Administrator was on-site and available to answer questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-four percentage (74%) as of 7/28/2023. The administrator and I discussed the low compliance history, ways to prevent any reoccurring violations, and review resources. During today’s visit, in space #4, the group of two- to four-year-old children were transitioning to the carpet after breakfast to look at books. After looking at books the group prepared to go outside for gross motor play. In space #1, the group of infants one (1) child was in a Graco rocker eating a bottle, one (1) child was being fed their bottle by the staff member, and three (3) were engaged in free choice play on the floor. In space # 2, the group of one- to two-year-old children were engaged in free choice center play. The staff member was conducting routine diaper change. In space # 3, the group of four- to five-year-old children were engaged in free choice center play with musical instruments, locks, legos, and dancing. All staff interactions were positive and nurturing. 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 violation was documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. 10A NCAC 09 .0902(b) Technical Assistance was provided in the following areas: Item 532 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. - In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 8/16/2023. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - I recommend adding a rubber mat to the end of the ramp to help keep the concrete from being exposed. - Remind staff to complete the sign-in and out sheets as children arrive. - I am available to provide the staff with training to assist with improving your compliance history score. 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 me, 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 41 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 75 Time In: 10:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced Today an unannounced follow-up visit was completed at this Three (3) Star Rated License facility to monitor compliance and discuss the compliance history. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Teresa Webb, Administrator was on-site and available to answer questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-four percentage (74%) as of 7/28/2023. The administrator and I discussed the low compliance history, ways to prevent any reoccurring violations, and review resources. During today’s visit, in space #4, the group of two- to four-year-old children were transitioning to the carpet after breakfast to look at books. After looking at books the group prepared to go outside for gross motor play. In space #1, the group of infants one (1) child was in a Graco rocker eating a bottle, one (1) child was being fed their bottle by the staff member, and three (3) were engaged in free choice play on the floor. In space # 2, the group of one- to two-year-old children were engaged in free choice center play. The staff member was conducting routine diaper change. In space # 3, the group of four- to five-year-old children were engaged in free choice center play with musical instruments, locks, legos, and dancing. All staff interactions were positive and nurturing. 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 violation was documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. 10A NCAC 09 .0902(b) Technical Assistance was provided in the following areas: Item 532 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. - In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 8/16/2023. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - I recommend adding a rubber mat to the end of the ramp to help keep the concrete from being exposed. - Remind staff to complete the sign-in and out sheets as children arrive. - I am available to provide the staff with training to assist with improving your compliance history score. 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 me, 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. 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: EAST ASHEVILLE ACADEMY Facility ID: 11000719 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 41 Completed Date: 8/2/2023 Age: From 0 To 5 Total Minutes: 75 Time In: 10:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced Today an unannounced follow-up visit was completed at this Three (3) Star Rated License facility to monitor compliance and discuss the compliance history. 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 Teresa Webb, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Teresa Webb, Administrator was on-site and available to answer questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-four percentage (74%) as of 7/28/2023. The administrator and I discussed the low compliance history, ways to prevent any reoccurring violations, and review resources. During today’s visit, in space #4, the group of two- to four-year-old children were transitioning to the carpet after breakfast to look at books. After looking at books the group prepared to go outside for gross motor play. In space #1, the group of infants one (1) child was in a Graco rocker eating a bottle, one (1) child was being fed their bottle by the staff member, and three (3) were engaged in free choice play on the floor. In space # 2, the group of one- to two-year-old children were engaged in free choice center play. The staff member was conducting routine diaper change. In space # 3, the group of four- to five-year-old children were engaged in free choice center play with musical instruments, locks, legos, and dancing. All staff interactions were positive and nurturing. 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 violation was documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. 10A NCAC 09 .0902(b) Technical Assistance was provided in the following areas: Item 532 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. - In space #1, when I arrived in the classroom, a child was holding their bottle and eating in the Graco rocker seat. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 8/16/2023. Email the compliance letter on signed letterhead or on 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - I recommend adding a rubber mat to the end of the ramp to help keep the concrete from being exposed. - Remind staff to complete the sign-in and out sheets as children arrive. - I am available to provide the staff with training to assist with improving your compliance history score. 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 me, 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. 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