Eliada Child Development

10A NCAC 09 .0902 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 1225-204L Visit Date: 1/5/2026 Number Present: 123 Completed Date: 1/5/2026 Age: From 0 To 5 Total Minutes: 298 Time In: 09:32 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate self-reported incident. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, accompanied me to this visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Lewis assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-one (81) percent as of 2025. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The self-report was received by the Division of Child Development and Early Education on 12/20/25 and sent to me on 12/29/25. Per email from Ms. Lewis, at 10:10 am on December 18, 2025, a support staff heard a staff member raised his/her voice in the classroom and witnessed rough handling of a child. According to Ms. Lewis, the child was frustrated with being ask to join group time and refused to walk to the group area. The assistant teacher in the classroom picked up the child to carry her to group. The child slid down and sat on the floor, as the assistant became more frustrated, she picked the child up and improperly put her into the cozy area at 10:12:57. Ms. Lewis provided video footage of the incident; however, no audio was available. The footage shows nine (9) children and three (3) staff members present in the classroom. One (1) teacher wearing a black long-sleeve shirt was observed in the carpeted area near the bathroom. One (1) teacher wearing a gray shirt was observed in the kitchen area without children. The lead teacher, who was wearing a tank top, was observed in the block area cleaning with two (2) children. During the review of the footage, multiple incidents of rough handling were observed, as detailed below: • At 1:14, the teacher wearing a black long-sleeve shirt picked a child up from the side while the child was struggling and placed him/her onto a beanbag chair. • At 1:28, the same teacher followed a child who left the carpeted area and walked to the dramatic play center. The teacher picked the child up from behind and carried him/her back to the carpeted area. The teacher then partially closed the gate and stood by it, separating the carpeted area from the rest of the classroom. • At 1:45, the teacher, wearing a gray shirt, exited the kitchen area and approached a child standing in the middle of the classroom. The teacher placed his/her hands on the child’s back, after which the child sat on the floor. The teacher picked the child up from behind and attempted to make him/her stand and walk toward the carpeted area. The child resisted and sat on the floor again. The teacher attempted to pick the child up from behind; however, the child leaned forward and laid on his/her stomach. The teacher then moved in front of the child, picked him/her up, and attempted to push the child toward the gate. The child resisted and sat on the teacher’s lap. After speaking to the child briefly, the teacher assisted him/her through the gate. The child sat on the floor again. The teacher attempted to pull the child up several times, but the child resisted standing. The teacher then placed his/her leg behind the child’s leg and pushed it forward in an attempt to make the child walk. When the child continued to resist, the teacher picked the child up and placed him/her into the cozy area. During this process, the child’s foot was observed dragging against a bookshelf, and the child was dropped onto a pillow. This incident lasted approximately forty-seven (47) seconds. • At 2:21, two (2) children in the carpeted area were observed engaging in an altercation. The teacher wearing a black long-sleeve shirt picked one (1) of the children up from behind and sat him/her down on the floor. In all of the incidents described above, children were picked up in an abrupt and forceful manner, frequently from behind while resisting. During today’s visit, a brief walk-through of all classrooms was conducted. Due to time constraints, formal observation was completed in one (1) classroom, M-3. The classroom in which the incident occurred was closed at the time of the visit. Due to staff shortages, children and staff members from other classrooms were combined into M-3. A total of eleven (11) children and three (3) staff members were present in classroom M-3. Upon arrival, seven (7) children were observed seated at a table. One (1) staff member was near the entrance door cleaning materials, one (1) staff member was in the enclosed food preparation area opening fruit cups and serving food onto plates, and one (1) staff member was in the bathroom area supervising four (4) children washing their hands. When the staff member in the bathroom completed handwashing supervision, he/she sang a song and engaged the children in finger play. Lunch consisted of chicken nuggets, a roll, green beans, a fruit cup, and milk. During lunch, staff members were engaged in various tasks, including cleaning leftover food, placing mats for rest time, and completing other routine duties. One (1) staff member sat near a child and conversed with the children until multiple children began getting up to clean their food. During lunch, one (1) child got up multiple times, some children experienced conflicts with peers, one (1) child began sobbing, and several children spilled milk. Each issue was addressed by staff members, who spoke to the children in a gentle manner. However, when one (1) child walked around the classroom with crackers and a sandwich in his/her mouth, staff members did not address the behavior. The transition after lunch was busy, as some children cleaned their own plates and cups, washed their hands, and transitioned to their mats. Multiple children got up from their mats and began running in the classroom. A few children were picked up and returned to their mats. Staff members handled each incident with positivity and care. Corrective actions were discussed with Ms. Lewis. Two (2) staff members involved in the incident that occurred on December 18, 2025, were terminated. Ms. Lewis and the assistant directors plan to provide training on maltreatment, age-appropriate practices, and behavior management for all staff members. They plan to contact the Sunshine Project to provide the behavior management training. 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 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child walked around eating crackers and sandwiches during lunch. 10A NCAC 09 .0902(b) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On December 8, 2025, multiple incidents occurred in a classroom serving two-year-old children in which two (2) staff members used physical intervention during group time and classroom transitions. Teachers repeatedly picked children up abruptly and forcefully—often from behind—while children were resisting, including carrying children back to the carpeted area, restricting access to other areas of the classroom, and attempting to physically make children stand or walk. In one (1) incident lasting approximately forty-seven (47) seconds, a child’s foot was observed dragging against a bookshelf and the child was dropped onto a pillow. All children in the classroom were two (2) years old at the time of the incident. .1803(a)(1) Technical assistance was provided as follows: 532: Eating in designated space Children must eat and drink only in designated areas. Meals and snacks must take place while children are seated at a table or in an appropriate feeding apparatus, such as a high chair. Eating or drinking while walking increases the risk of choking. During mealtimes, staff members must be able to see and hear all children at all times. Staff should use developmentally appropriate guidance to support safe mealtime behavior. For example, staff may use “when–then” language such as, “When you finish your lunch, then you may get up.” If a child has finished eating, staff may remove the food from the table to signal the end of the meal. Staff are encouraged to sit with children during meals and engage them in conversation. This interaction can help maintain a calm environment and reduce children leaving the table prematurely. To ensure compliance, staff must discuss and implement strategies that help children remain in the designated eating area throughout mealtime. 904: rough handling of children Disciplining while feeling angry or frustrated often result in intended/unintended rough handling of children. Discipline should be used as a teaching tool to help children learn how to manage situations more effectively, not as a form of punishment. When a teacher feels angry or frustrated, he/she should consult with other teachers in the classroom for support and assistance. Picking children up from behind may increase anxiety and frustration, particularly for children two (2) and three (3) years of age who are developing a sense of independence. Teachers should create an environment in which children are willing to comply with expectations. Strategies may include introducing a group-time character (e.g., a classroom mascot), playing a familiar or favorite song, and offering a hand before physically guiding a child rather than grabbing the child from behind. Teachers should ask open-ended questions and provide choices whenever possible. Examples include asking, “What story would you like me to read during group time?” or offering choices such as, “Would you like to join group time now, or help another teacher get ready to go outside?” Resource and Referral agencies can provide additional technical assistance and training: Buncombe Partnership for Children at 828-285-9333 Southwestern Child Development Commission at (828)586-5561 Achieving Compliance: The violation must be corrected immediately. The facility received a violation regarding discipline today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1803(a)(1). The correction of violation will be verified by a follow-up visit. Consultation is provided as follows: Many children who are two (2) years old and young three (3)s may not yet be ready for full group time. With three (3) staff members present in the classroom, one (1) staff member can sit with a small group of children and conduct a simple activity while the remaining children participate in group time. Group time activities should be engaging, developmentally appropriate, and appealing to young children. Children who are two (2) and young three (3) years of age may be more comfortable participating in songs, finger plays, puppet shows, and simple games. Whole-group activities for young toddlers should be offered with the purpose of encouraging participation and nurturing positive approaches to learning. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1803 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 1225-204L Visit Date: 1/5/2026 Number Present: 123 Completed Date: 1/5/2026 Age: From 0 To 5 Total Minutes: 298 Time In: 09:32 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate self-reported incident. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, accompanied me to this visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Lewis assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-one (81) percent as of 2025. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The self-report was received by the Division of Child Development and Early Education on 12/20/25 and sent to me on 12/29/25. Per email from Ms. Lewis, at 10:10 am on December 18, 2025, a support staff heard a staff member raised his/her voice in the classroom and witnessed rough handling of a child. According to Ms. Lewis, the child was frustrated with being ask to join group time and refused to walk to the group area. The assistant teacher in the classroom picked up the child to carry her to group. The child slid down and sat on the floor, as the assistant became more frustrated, she picked the child up and improperly put her into the cozy area at 10:12:57. Ms. Lewis provided video footage of the incident; however, no audio was available. The footage shows nine (9) children and three (3) staff members present in the classroom. One (1) teacher wearing a black long-sleeve shirt was observed in the carpeted area near the bathroom. One (1) teacher wearing a gray shirt was observed in the kitchen area without children. The lead teacher, who was wearing a tank top, was observed in the block area cleaning with two (2) children. During the review of the footage, multiple incidents of rough handling were observed, as detailed below: • At 1:14, the teacher wearing a black long-sleeve shirt picked a child up from the side while the child was struggling and placed him/her onto a beanbag chair. • At 1:28, the same teacher followed a child who left the carpeted area and walked to the dramatic play center. The teacher picked the child up from behind and carried him/her back to the carpeted area. The teacher then partially closed the gate and stood by it, separating the carpeted area from the rest of the classroom. • At 1:45, the teacher, wearing a gray shirt, exited the kitchen area and approached a child standing in the middle of the classroom. The teacher placed his/her hands on the child’s back, after which the child sat on the floor. The teacher picked the child up from behind and attempted to make him/her stand and walk toward the carpeted area. The child resisted and sat on the floor again. The teacher attempted to pick the child up from behind; however, the child leaned forward and laid on his/her stomach. The teacher then moved in front of the child, picked him/her up, and attempted to push the child toward the gate. The child resisted and sat on the teacher’s lap. After speaking to the child briefly, the teacher assisted him/her through the gate. The child sat on the floor again. The teacher attempted to pull the child up several times, but the child resisted standing. The teacher then placed his/her leg behind the child’s leg and pushed it forward in an attempt to make the child walk. When the child continued to resist, the teacher picked the child up and placed him/her into the cozy area. During this process, the child’s foot was observed dragging against a bookshelf, and the child was dropped onto a pillow. This incident lasted approximately forty-seven (47) seconds. • At 2:21, two (2) children in the carpeted area were observed engaging in an altercation. The teacher wearing a black long-sleeve shirt picked one (1) of the children up from behind and sat him/her down on the floor. In all of the incidents described above, children were picked up in an abrupt and forceful manner, frequently from behind while resisting. During today’s visit, a brief walk-through of all classrooms was conducted. Due to time constraints, formal observation was completed in one (1) classroom, M-3. The classroom in which the incident occurred was closed at the time of the visit. Due to staff shortages, children and staff members from other classrooms were combined into M-3. A total of eleven (11) children and three (3) staff members were present in classroom M-3. Upon arrival, seven (7) children were observed seated at a table. One (1) staff member was near the entrance door cleaning materials, one (1) staff member was in the enclosed food preparation area opening fruit cups and serving food onto plates, and one (1) staff member was in the bathroom area supervising four (4) children washing their hands. When the staff member in the bathroom completed handwashing supervision, he/she sang a song and engaged the children in finger play. Lunch consisted of chicken nuggets, a roll, green beans, a fruit cup, and milk. During lunch, staff members were engaged in various tasks, including cleaning leftover food, placing mats for rest time, and completing other routine duties. One (1) staff member sat near a child and conversed with the children until multiple children began getting up to clean their food. During lunch, one (1) child got up multiple times, some children experienced conflicts with peers, one (1) child began sobbing, and several children spilled milk. Each issue was addressed by staff members, who spoke to the children in a gentle manner. However, when one (1) child walked around the classroom with crackers and a sandwich in his/her mouth, staff members did not address the behavior. The transition after lunch was busy, as some children cleaned their own plates and cups, washed their hands, and transitioned to their mats. Multiple children got up from their mats and began running in the classroom. A few children were picked up and returned to their mats. Staff members handled each incident with positivity and care. Corrective actions were discussed with Ms. Lewis. Two (2) staff members involved in the incident that occurred on December 18, 2025, were terminated. Ms. Lewis and the assistant directors plan to provide training on maltreatment, age-appropriate practices, and behavior management for all staff members. They plan to contact the Sunshine Project to provide the behavior management training. 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 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child walked around eating crackers and sandwiches during lunch. 10A NCAC 09 .0902(b) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On December 8, 2025, multiple incidents occurred in a classroom serving two-year-old children in which two (2) staff members used physical intervention during group time and classroom transitions. Teachers repeatedly picked children up abruptly and forcefully—often from behind—while children were resisting, including carrying children back to the carpeted area, restricting access to other areas of the classroom, and attempting to physically make children stand or walk. In one (1) incident lasting approximately forty-seven (47) seconds, a child’s foot was observed dragging against a bookshelf and the child was dropped onto a pillow. All children in the classroom were two (2) years old at the time of the incident. .1803(a)(1) Technical assistance was provided as follows: 532: Eating in designated space Children must eat and drink only in designated areas. Meals and snacks must take place while children are seated at a table or in an appropriate feeding apparatus, such as a high chair. Eating or drinking while walking increases the risk of choking. During mealtimes, staff members must be able to see and hear all children at all times. Staff should use developmentally appropriate guidance to support safe mealtime behavior. For example, staff may use “when–then” language such as, “When you finish your lunch, then you may get up.” If a child has finished eating, staff may remove the food from the table to signal the end of the meal. Staff are encouraged to sit with children during meals and engage them in conversation. This interaction can help maintain a calm environment and reduce children leaving the table prematurely. To ensure compliance, staff must discuss and implement strategies that help children remain in the designated eating area throughout mealtime. 904: rough handling of children Disciplining while feeling angry or frustrated often result in intended/unintended rough handling of children. Discipline should be used as a teaching tool to help children learn how to manage situations more effectively, not as a form of punishment. When a teacher feels angry or frustrated, he/she should consult with other teachers in the classroom for support and assistance. Picking children up from behind may increase anxiety and frustration, particularly for children two (2) and three (3) years of age who are developing a sense of independence. Teachers should create an environment in which children are willing to comply with expectations. Strategies may include introducing a group-time character (e.g., a classroom mascot), playing a familiar or favorite song, and offering a hand before physically guiding a child rather than grabbing the child from behind. Teachers should ask open-ended questions and provide choices whenever possible. Examples include asking, “What story would you like me to read during group time?” or offering choices such as, “Would you like to join group time now, or help another teacher get ready to go outside?” Resource and Referral agencies can provide additional technical assistance and training: Buncombe Partnership for Children at 828-285-9333 Southwestern Child Development Commission at (828)586-5561 Achieving Compliance: The violation must be corrected immediately. The facility received a violation regarding discipline today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1803(a)(1). The correction of violation will be verified by a follow-up visit. Consultation is provided as follows: Many children who are two (2) years old and young three (3)s may not yet be ready for full group time. With three (3) staff members present in the classroom, one (1) staff member can sit with a small group of children and conduct a simple activity while the remaining children participate in group time. Group time activities should be engaging, developmentally appropriate, and appealing to young children. Children who are two (2) and young three (3) years of age may be more comfortable participating in songs, finger plays, puppet shows, and simple games. Whole-group activities for young toddlers should be offered with the purpose of encouraging participation and nurturing positive approaches to learning. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 1225-204L Visit Date: 1/5/2026 Number Present: 123 Completed Date: 1/5/2026 Age: From 0 To 5 Total Minutes: 298 Time In: 09:32 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate self-reported incident. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, accompanied me to this visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Lewis assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-one (81) percent as of 2025. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The self-report was received by the Division of Child Development and Early Education on 12/20/25 and sent to me on 12/29/25. Per email from Ms. Lewis, at 10:10 am on December 18, 2025, a support staff heard a staff member raised his/her voice in the classroom and witnessed rough handling of a child. According to Ms. Lewis, the child was frustrated with being ask to join group time and refused to walk to the group area. The assistant teacher in the classroom picked up the child to carry her to group. The child slid down and sat on the floor, as the assistant became more frustrated, she picked the child up and improperly put her into the cozy area at 10:12:57. Ms. Lewis provided video footage of the incident; however, no audio was available. The footage shows nine (9) children and three (3) staff members present in the classroom. One (1) teacher wearing a black long-sleeve shirt was observed in the carpeted area near the bathroom. One (1) teacher wearing a gray shirt was observed in the kitchen area without children. The lead teacher, who was wearing a tank top, was observed in the block area cleaning with two (2) children. During the review of the footage, multiple incidents of rough handling were observed, as detailed below: • At 1:14, the teacher wearing a black long-sleeve shirt picked a child up from the side while the child was struggling and placed him/her onto a beanbag chair. • At 1:28, the same teacher followed a child who left the carpeted area and walked to the dramatic play center. The teacher picked the child up from behind and carried him/her back to the carpeted area. The teacher then partially closed the gate and stood by it, separating the carpeted area from the rest of the classroom. • At 1:45, the teacher, wearing a gray shirt, exited the kitchen area and approached a child standing in the middle of the classroom. The teacher placed his/her hands on the child’s back, after which the child sat on the floor. The teacher picked the child up from behind and attempted to make him/her stand and walk toward the carpeted area. The child resisted and sat on the floor again. The teacher attempted to pick the child up from behind; however, the child leaned forward and laid on his/her stomach. The teacher then moved in front of the child, picked him/her up, and attempted to push the child toward the gate. The child resisted and sat on the teacher’s lap. After speaking to the child briefly, the teacher assisted him/her through the gate. The child sat on the floor again. The teacher attempted to pull the child up several times, but the child resisted standing. The teacher then placed his/her leg behind the child’s leg and pushed it forward in an attempt to make the child walk. When the child continued to resist, the teacher picked the child up and placed him/her into the cozy area. During this process, the child’s foot was observed dragging against a bookshelf, and the child was dropped onto a pillow. This incident lasted approximately forty-seven (47) seconds. • At 2:21, two (2) children in the carpeted area were observed engaging in an altercation. The teacher wearing a black long-sleeve shirt picked one (1) of the children up from behind and sat him/her down on the floor. In all of the incidents described above, children were picked up in an abrupt and forceful manner, frequently from behind while resisting. During today’s visit, a brief walk-through of all classrooms was conducted. Due to time constraints, formal observation was completed in one (1) classroom, M-3. The classroom in which the incident occurred was closed at the time of the visit. Due to staff shortages, children and staff members from other classrooms were combined into M-3. A total of eleven (11) children and three (3) staff members were present in classroom M-3. Upon arrival, seven (7) children were observed seated at a table. One (1) staff member was near the entrance door cleaning materials, one (1) staff member was in the enclosed food preparation area opening fruit cups and serving food onto plates, and one (1) staff member was in the bathroom area supervising four (4) children washing their hands. When the staff member in the bathroom completed handwashing supervision, he/she sang a song and engaged the children in finger play. Lunch consisted of chicken nuggets, a roll, green beans, a fruit cup, and milk. During lunch, staff members were engaged in various tasks, including cleaning leftover food, placing mats for rest time, and completing other routine duties. One (1) staff member sat near a child and conversed with the children until multiple children began getting up to clean their food. During lunch, one (1) child got up multiple times, some children experienced conflicts with peers, one (1) child began sobbing, and several children spilled milk. Each issue was addressed by staff members, who spoke to the children in a gentle manner. However, when one (1) child walked around the classroom with crackers and a sandwich in his/her mouth, staff members did not address the behavior. The transition after lunch was busy, as some children cleaned their own plates and cups, washed their hands, and transitioned to their mats. Multiple children got up from their mats and began running in the classroom. A few children were picked up and returned to their mats. Staff members handled each incident with positivity and care. Corrective actions were discussed with Ms. Lewis. Two (2) staff members involved in the incident that occurred on December 18, 2025, were terminated. Ms. Lewis and the assistant directors plan to provide training on maltreatment, age-appropriate practices, and behavior management for all staff members. They plan to contact the Sunshine Project to provide the behavior management training. 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 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child walked around eating crackers and sandwiches during lunch. 10A NCAC 09 .0902(b) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On December 8, 2025, multiple incidents occurred in a classroom serving two-year-old children in which two (2) staff members used physical intervention during group time and classroom transitions. Teachers repeatedly picked children up abruptly and forcefully—often from behind—while children were resisting, including carrying children back to the carpeted area, restricting access to other areas of the classroom, and attempting to physically make children stand or walk. In one (1) incident lasting approximately forty-seven (47) seconds, a child’s foot was observed dragging against a bookshelf and the child was dropped onto a pillow. All children in the classroom were two (2) years old at the time of the incident. .1803(a)(1) Technical assistance was provided as follows: 532: Eating in designated space Children must eat and drink only in designated areas. Meals and snacks must take place while children are seated at a table or in an appropriate feeding apparatus, such as a high chair. Eating or drinking while walking increases the risk of choking. During mealtimes, staff members must be able to see and hear all children at all times. Staff should use developmentally appropriate guidance to support safe mealtime behavior. For example, staff may use “when–then” language such as, “When you finish your lunch, then you may get up.” If a child has finished eating, staff may remove the food from the table to signal the end of the meal. Staff are encouraged to sit with children during meals and engage them in conversation. This interaction can help maintain a calm environment and reduce children leaving the table prematurely. To ensure compliance, staff must discuss and implement strategies that help children remain in the designated eating area throughout mealtime. 904: rough handling of children Disciplining while feeling angry or frustrated often result in intended/unintended rough handling of children. Discipline should be used as a teaching tool to help children learn how to manage situations more effectively, not as a form of punishment. When a teacher feels angry or frustrated, he/she should consult with other teachers in the classroom for support and assistance. Picking children up from behind may increase anxiety and frustration, particularly for children two (2) and three (3) years of age who are developing a sense of independence. Teachers should create an environment in which children are willing to comply with expectations. Strategies may include introducing a group-time character (e.g., a classroom mascot), playing a familiar or favorite song, and offering a hand before physically guiding a child rather than grabbing the child from behind. Teachers should ask open-ended questions and provide choices whenever possible. Examples include asking, “What story would you like me to read during group time?” or offering choices such as, “Would you like to join group time now, or help another teacher get ready to go outside?” Resource and Referral agencies can provide additional technical assistance and training: Buncombe Partnership for Children at 828-285-9333 Southwestern Child Development Commission at (828)586-5561 Achieving Compliance: The violation must be corrected immediately. The facility received a violation regarding discipline today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1803(a)(1). The correction of violation will be verified by a follow-up visit. Consultation is provided as follows: Many children who are two (2) years old and young three (3)s may not yet be ready for full group time. With three (3) staff members present in the classroom, one (1) staff member can sit with a small group of children and conduct a simple activity while the remaining children participate in group time. Group time activities should be engaging, developmentally appropriate, and appealing to young children. Children who are two (2) and young three (3) years of age may be more comfortable participating in songs, finger plays, puppet shows, and simple games. Whole-group activities for young toddlers should be offered with the purpose of encouraging participation and nurturing positive approaches to learning. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 69 Completed Date: 12/11/2025 Age: From 0 To 8 Total Minutes: 376 Time In: 09:14 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, Dawn McCrary, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Lewis and Heather Wilson, Assistant administrator, were 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-three (83) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Eliada Homes, Inc., is current/active as of 12/5/25. Permit type – five-star center license issued on 10/12/23. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exit only. The program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 8/1/25 with twenty-six (26) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/8/23 without hazards. Lead paint testing was completed on 8/4/25 and no lead-based paint hazards were identified. Asbestos testing was completed on 9/5/25 and asbestos hazards were identified. The affected area in some areas of the Main Building. Thermal system insulation above the ceiling in the area is damaged. The pending mediations include restriction of access to affected areas, repair and maintenance. The program is currently working on mediation. A total of forty-two (42) staff members were listed on the Automated Background Check Management System (ABCMS) as of 12/5/25 and three (3) staff members were pending. Main Building: A walk-through was conducted by Ms. McCrary. During the walkthrough of the Main Building, the children in classroom M-3 were interacting on the floor with their caregivers with toys. The children in classroom M-4 were observed playing with musical instruments, dolls, dress-up clothes and interacting with their caregivers. The children in classroom M-5 were transitioning to gross motor play in the gym. Four emergency medications were monitored for child care requirements in the Main Building during today’s visit. All interactions were positive. Supervision was adequate. The last fire drill was practiced on 11/24/25. The last lockdown drill was practiced on 11/17/2025. The last playground inspection was documented on 11/25/2025. The last fire inspection was approved on 1/30/2025. Lion’s Building: A walk-through was conducted by Ms. Mathis. The last fire drill was practiced on The last shelter-in-place drill was practiced on The last playground inspection was documented on Melody Gonzalez, Interim Assistant Director accompanied me on the walkthrough of the indoor and outdoor spaces. In room L-2 – Classroom L-1 was combined with L-2 due to low numbers. There were ten (10) children present, ranging from one to two years of age. The children were mainly located near the language area waiting for breakfast/AM snack. Snack was later than usual due to a delayed operation schedule as a result of inclement weather. The facility opened at 9:00 a.m. Children were arriving at the center. One (1) staff was cleaning the floor results, and the other staff member was assisting children with handwashing. The tables were stacked on top of each other. Three (3) children were observed walking around with sipping cups and two (2) children had a bag of Chex mix. The group was active and Classroom L-3 was closed and not in operation. The classroom is currently being used for storage only. Melody Gonzalez, Interim assistant director stated they are planning to re-open the classroom in the coming months. Classroom L-4 – there were six (6) infants present with three (3) staff and a foster grandparent. Three (3) infants were observed moving about the area, happy and engaged. The foster grandparent was holding two children in the rocking chair, one (1) child was having their diaper changed, one (1) infant was being held by a staff member and one (1) infant was a sleep. Children were happy and content in their environment. Classroom L-5 – there were three (3) children present. Two (2) infants and one (1) one year old child with two (2) staff. One (1) staff was rocking an infant and the other staff member was on the floor interacting with the other two (2) children. Children were happy and content in their environment. Classroom L-6 – There were three (3) one year old children present with two (2) staff. The two (2) staff were sitting on the floor engaged in play with the three (3) children. Children were happy and content in their environment. Community Building: A walk-though was conducted by Ms. Marshall. Heather Wilson, Assistant Director, accompanied me on the walkthrough of the indoor spaces. In classroom space C-1, children built small structures with magnatiles and read books with caregivers. In space C-8, children completed age appropriate puzzles and completed coloring pages. In classroom space C-6, children built small structures with connecting blocks, participated in a teacher-led three dimensional collage activity, and read books. In classroom space C-5, children read books with caregivers and engaged in indoor gross motor activities such as spinning and hopping. Classrooms C-2, C-3, and C-4 are NC Pre-K classrooms who operate on the Buncombe County School schedule. These classrooms were closed today due to weather. Interactions were positive and nurturing. Supervision was adequate. Fire Drill was last completed on 11/24/25. Lockdown was practiced on 11/17/25. Playground inspection was completed on 11/19/25. School-age Building: School-age Building was not in use during the visit due to repairs for water leak. Staff files: Eleven (11) new staff files and four (4) existing staff files were monitored. Staff and training worksheet did not contain all required information, including but not limited to first second and six weeks of orientation date, CBC issue date, on-going training hours, CPR/First Aid dates, Shaken Baby policy, date of employment, staff evaluation and application. The ABCMS system was reviewed during the visit, and all staff members’ criminal background qualification letters were valid. Children’s files: A total of twenty-six (26) children’s files, including seven (7) NC Pre-K children’s files, were monitored. Some of the children enrolled late, and their dental, vision, hearing, and developmental screenings were not yet due at the time of the visit for two (2) of the children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport 12 school-age children for. I monitored two (2) vehicles - van and bus today. Transportation monitoring: Twelve (12) children are transported regularly on one (1) van and one (1) bus. Both vehicles were monitored during the visit today. I reviewed the vehicle registration, insurance information and driver’s licenses for all drivers. I monitored safety requirements on both vehicles. Emergency and identifying information for children was present on both vehicles. Attendance records were maintained in binders for both vehicles. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The program has not received a site visit by the NC Pre-K administrator yet. Seven (7) children files were monitored today. The classroom operates from a.m. to p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1, C-2, C-5 and C-6. The following violations were documented during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A daily schedule was not available in classroom L-6 with infants and one-year-old children. GS 110-91(12);.0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Three (3) children in the L-2 classroom with one and two-year-old children was walking around with a sippy cup. One (1) child was walking around and one (1) child was sitting in a recliner eating/holding a bag of Chex mix. 10A NCAC 09 .0902(b) 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 classroom L-4 two (2) children P.B. and I.R. infant feeding schedules were not signed by the parent and dated when received by the facility. In L-5, infant feeding was not signed and dated when received for I.H. In classroom L-6, infant feeding schedule for D.B. was not signed and dated when received. .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Blue Kaboom equipment located on the playground located in the back of the Community Building did not have required fall zone. .0605(j) 721 All equipment and furnishings were not in good repair. On playground 2, the easel and the purple vehicle have chipping paint. The race car was molded. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe procedures for pick-up and delivery were not posted in the Community building. .1003(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multiple medicated ointments, alcohol pads and chemically activated ice packs were observed in a First Aid kit on the van. .0604(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A parent permission to administer Babyganics in L-1 was not available. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff S.R., hired 7/29/25, has a signed medical statement on file dated 7/30/25. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff Z.H., hired 9/8/25 and B.B., hired 9/5/25, have orientation on file that is not dated. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Eight (8) staff members did not complete required hours of on-going training. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for one (1) van used to transport children expired 7/31/25. .1002(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have medical exam record on file within thirty (30) days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child with an enrollment date of 8/24/25 did not have immunization record on file. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not available for a child in L-2 with an epi pen. .0801(b) 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 B.B, hired 9/5/25, has a signed shaken baby acknowledgement dated 10/1/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication form for P.B in L-2 giving standing permission to administer Aquaphor expired 11/19/24. Medication form for A.Z in L-2 giving standing permission to administer Triple Paste expired on 8/26/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 member C. Porter hired on 7/7/25 completed the training on 12/3/25. The training was due by 10/7/25. .1102(g) 9995 The sandbox located on the outdoor playground at the Lion's building was not covered. There were leaves and many toys in the sandbox. No children were occupying the space. This is a sanitation requirement of 2832 (c)(2). Technical assistance was provided as follows: 415: A daily schedule was not available and posted in classroom L-6. Discuss with staff to not remove the daily schedule while revising. The staff member stated she took the schedule home to revise it. We discussed taking a photo of the schedule, revise the schedule and then replace in the classroom. Achieving compliance: Provide a statement the schedule has been posted. 532: We discussed for children to eat and drink they must be sitting at a table or located in an appropriate feeding apparatus such as a high chair. The tables were stacked on top of each other at the time of the observations. Discuss with staff the importance of ensuring children are sitting down or being held while eating and/or drinking. Staff should be within arms reach of a child eating and drinking to observe any potential choking concerns. Achieving Compliance: Provide a statement you have reviewed this requirement with staff. 541: Four (4) infant feeding schedules were not signed by the parent or dated when received by the facility. Put measures in place of reviewing the infant feeding plan at enrollment and prior to the child attending the program. Achieving compliance: Provide a statement that all infant feeding schedules have been signed and dated as required. 716: protective surfacing All equipment with critical heights of eighteen (18) inches or higher must be installed over protective surfacing. To comply, please create a fall zone that extends six (6) feet around the blue see-saw on a playground at the Main Building. In your compliance letter, please state the action you took to meet compliance. 721: equipment in good repair To comply, clean or remove the race car on playground 2 on the Main Building. The easel and the purple vehicle must be re-painted or removed from the playground. In your compliance letter, please state the action you took to meet compliance. Item #802: Customization: The safe procedures for pick-up and delivery were not posted in the Community building. Technical Assistance: We reviewed the requirements in rule .1003 (b). To reach compliance with this item, plan to post the safe pick-up and delivery procedures for the community building. We discussed there are sample procedures available on the Division’s website under Provider Documents and Forms. 811: Potentially hazardous products The hazardous products were removed from the First Aid kit in the van. This is corrected. Plan to screen all store-bought First Aid Kits to ensure medication and chemicals are removed. 842: All medication on-site and/or administered must be accompanied by a permission to administer with specific instructions. Put measures in place for monitoring of all medications to ensure a permission form accompanies each form. Remind staff not to accept medications without a permission form completed. Recommend having blank permission forms in each classroom to provide to a parent as needed. Achieve compliance: Provide a statement you have reviewed medications and the medication has been discarded/returned to the parent, or a permission form has been provided. 1032: Medical Statement A medical statement was obtained on 7/30/25 for a staff member whose date of employment was 7/29/25. To comply, a medical statement must be completed on or prior to the date of employment. In your compliance letter, please state how you will prevent this violation moving forward. 1043: required information All information on the Staff and Training Worksheet for every staff member is required. To comply, complete the Staff and Training Worksheet and submit it to me. 1045: orientation All sections of orientation form must be completed including hours, date of completion and who completed the orientation. To comply, you shall update the orientation form or Z. Hammond and B. Baur and complete the entire orientation forms. 1052: On-going training Required on-going training hours must be completed during the annual training period. To comply, the following staff members need to complete additional training hours within the next two (2) weeks. These training hours are required to make up the hours missed during previously completed training periods. Therefore, none of the make-up hours will count toward the current training period, as they are solely to replace the missing hours from prior periods. E. Strickland - needs 3.5 additional hours. K. Haney needs 14.5 additional hours. H. Buckner needs 2 additional hours. C. Pagan needs 8.5 additional hours. S. Sellers needs 10 additional hours. H. McCrain needs 7.5 additional hours. C. Neill needs 1.5 additional hours. S. Jordan needs 16.5 additional hours. In your compliance letter, please verify the completion of training for each staff member. Item #1110: Vehicle requirements The registration for one (1) van used to transport children expired 7/31/25. Technical Assistance: To reach compliance with this item, the registration for the van must be renewed. During the visit, you alerted maintenance and the van was taken to receive an inspection. In your letter of compliance, include a statement that indicates the registration has been updated. We discussed addressing the bus as soon as the registration expires 12/31/25. 1321: health record on file within thirty (30) days Medical exam or health assessment record must be on each child’s file within thirty (30) days of enrollment To comply, please discuss this matter with the parent and obtain a medical exam record for P.M. In your compliance letter, please verify that the record was obtained and filed. 1323: Immunization record Immunization records must be on the children's file within thirty (30) days of enrollment. If a child is exempt from immunization, the documentation of religious exemption must be on file. To comply, please discuss this matter with the parents of E.T. and obtain the record of immunization or exemption. In your compliance letter, please verify that the documentation was on the file. 1874: Shaken Baby Policy The Shaken Baby Syndrome policy must be signed by all staff members before they care for children ages 0–5. To comply, please ensure that all staff members review the policy before taking care of children. In your compliance letter, please state your plan to prevent this violation from recurring. 1882: Two (2) ointments parent permission was over 12 months old. Put measures in place for monitoring of all medications to ensure parent standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed is updated. Achieving compliance: Provide a statement the medication has been returned to the parent or parent permission has been updated. 1834: A medical action plan for S.K. was not provided at the time of application. A medical action plan for any child with a chronic illness/disease must accompany the child’s application at enrollment. Achieving compliance – Provide a statement the medical action plan is on-site for the child with an Epi-Pen 9995 - The sandbox covered was located in the adjacent playground space that is currently not being used. It was obvious the sandbox had not been covered in some time with leaves piled in the corner of the sandbox and many toys in the sandbox. Ensure staff are closing the sandbox at the end of the operating day and uncovering at the beginning of the operating day. Achieving Compliance: Provide a statement that sanitation rule 2832 (c)(2) was reviewed with staff: A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Please verify the tarp will be placed on the sandbox daily. Achieving Compliance: Due to more than sixteen (16) violations, a follow-up visit is required. Additionally, you may be considered for an administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the outdoor playground at the Lion’s building needs to be cleaned and organized. There were many toys scattered about the area. We addressed creating activity areas on the playground and to create an inviting environment. Refer to https://naturalearning.org/ for naturalizing your playground ideas. We also discussed that portable equipment that requires more than one person to move, will need to meet surfacing requirements. The structure on the Lion’s playground cannot be moved and needs to meet a 6 foot fall zone with 6 inches of surfacing. This has been previously addressed. If not corrected, this may be a future violation. As a reminder, medication administration authorization can be given by the parent for a maximum of six (6) months for chronic medical conditions. For example, if a parent gives permission to staff to administer asthma medication in August, permission would need to be renewed in February. We discussed space requirements in classrooms. As a reminder, you are currently following enhanced space standards which requires thirty (30) square feet of indoor space per child according to rule . Any furniture or spaces that are intended to be used by teachers only must be removed from the usable square footage. We discussed the teacher’s desk in classroom space C-2 and the storage space in classroom space C-5. These areas must be removed or made accessible to children in order to maintain your current space capacity in these classrooms. Reminder: Criminal background letter for H. Moore will expire on 1/21/26. Please renew the background check prior to expiration date. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0510 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 1225-030L Visit Date: 12/9/2025 Number Present: 7 Completed Date: 12/11/2025 Age: From 2 To 4 Total Minutes: 35 Time In: 04:58 PM Time Out: 05:33 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the visit was to investigate allegations of child care requirements during a complaint visit. Due to limited operating time remaining at the time of the visit, only monitoring was completed during the visit conducted on December 9, 2025. A computerized generated report of the visit conducted on December 9, 2025, was completed on December 10, 2025. The report was reviewed with Ms. Lewis on December 11, 2025, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mary Lewis. A signed copy of the visit summary was electronically emailed to you. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of December 9, 2025, prior to the visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions include daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 12/4/25 and sent to me on the same day. There are concerns regarding developmentally appropriate practice and safe environment. The allegation is that at approximately 5:05 p.m. each day, the remaining children, including those aged two (2) and three (3) years, are shown television programs on a laptop in Main Building. During this time, all areas of the center are closed, and carpeted areas are blocked off to keep the children confined to a specific space. Staff members allegedly stand behind the children’s chairs, which may result in delayed responses when addressing challenging behaviors. Additionally, no incident reports were created for injuries that occurred during this time. Additional information obtained by the Division include that there were fifteen (15) children in the blocked area watching TV as well as playing with materials from the center from the blocked area at approximately 5:00 pm on December 8, 2025. I arrived at the Main Building at shortly before 5:00 pm. I observed two (2) children being picked up by parents/guardians from the stand-alone building. As I approached the stand-alone building, I observed one (1) adult carrying one (1) child to the Main Building. I greeted two (2) group leaders. One (1) identified as a substitute closer for today, and the other staff member identified as a regular closer. The other regular staff members were temporarily out of the classroom with one (1) child. Melody Gonzales, Assistant Administrator, for the Main Building assisted me during the visit. When I entered the stand-alone building, I observed seven (7) children, two (2) to four (4) years of age, engaging in free play. Four (4) children were in the block area playing with pretend animals and vehicles, two (2) were in the housekeeping with stuffed animals and one (1) examined a stuffed animals with a magnifying glass. During my observation, no screen time was offered. Screen time activities were not listed on the activity plans. Screen time log was completed but it was not certain that the logs were completed during wrap-around hours. The classroom is used throughout the day. Ms. Gonzales assisted me in reviewing video footage and program records. The records were maintained in the Lion’s Building. Ms. Gonzales was unable to pull up the video footage on the computer due to a password issue. In Ms. Lewis’s office in the Lion’s Building, I reviewed the incident log and an incident report. One incident was logged for a child who attends wrap-around care; however, the incident did not occur during wrap-around hours. On December 10, 2025, Ms. Lewis sent me two (2) video files via email—one (1) from December 2, 2025, at 5:14 p.m., and the other from December 8, 2025, at 5:15 p.m. In the video footage from December 2, 2025, several children were observed playing in a classroom in the Main Building. One (1) of the group leaders brought a laptop/tablet, played cartoon, and placed the device on a shelf. Some of the children were observed watching it while seated in the carpeted area. The cartoon played for at least ten (10) minutes and thirteen (13) seconds. In the video footage from December 8, 2025, several children were observed playing in the stand-alone building. One (1) of the group leaders brought a laptop/tablet, played a cartoon, and placed it on a shelf near the entrance/exit door. Staff members were seated in the block area—one (1) on a chair blocking the entry/exit to the block area, and the other on a shelf. It appears that “Frosty the Snowman” was playing on the laptop/tablet. The show played for a minimum of eleven (11) minutes and fifteen (15) seconds. During this time, several parents arrived, and some children were picked up. Based on the observations and program records, the allegation of developmentally inappropriate practice was substantiated. On both December 2, 2025, and December 8, 2025, the group leaders played a cartoon on a device as part of their typical routine. It is inferred that cartoons are regularly played during the last thirty (30) minutes of the wrap-around program, although the duration of time the cartoon plays each day varies. The allegation of a violation related to a safe environment is unsubstantiated due to a lack of evidence. During the observation, no children were injured. Additionally, staff members were easily accessible to the children in the video footage from both days. There was not sufficient evidence to indicate that supervision was inadequate. The following violations were documented during today’s visit: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. On December 2, 2025, a cartoon was played on a device and shown to a group of children, ages two (2) to four (4), for a minimum of ten (10) minutes and thirteen (13) seconds in a classroom in the Main Building. On December 8, 2025, a cartoon was played on a device and shown to a group of children, ages two (2) to four (4), in the block center of the stand-alone building for a minimum of eleven (11) minutes and fifteen (15) seconds. .0510(f) following violations were documented during today’s visit: Technical assistance was provided as follows: In your compliance letter, please verify that you reviewed the child care rule. 544: screen time for children under three (3): Screen time must not be offered to children under three (3) years of age. Refer to 10A NCAC 09 .0510(f). To comply, please review child care rule 10A NCAC 09 .0510(f) with your closers. In your compliance letter, please verify that you reviewed the rules with your staff members. 10A NCAC 09 .0510 ACTIVITY AREAS (a) For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110-91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. (2) Centers with a licensed capacity of less than 30 children shall have at least four activity areas available. Separate groups of children may share use of the same activity areas. (3) Centers with a licensed capacity of 3 to 12 children located in a residence shall have at least four types of activities available. (b) In addition to the four activity areas that are available each day, each center shall have materials and equipment in sufficient quantity, as described in Subparagraph (d)(1) of this Rule, to ensure that the fifth activity area listed in G.S. 110-91(12) is made available at least once per month. (c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; and (6) each child under the age of 12 months shall be given supervised tummy time positioned on his or her stomach while awake and alert each day. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Achieving Compliance: You may submit a compliance letter for the other violations. 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 • Signature I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Behavioral management: Children often misbehave when they are confined in small space with many others or feel board. Providing choices of materials can be effective method to prevent such behaviors. Offer bins of toys, such as magnetic tiles, art activities, music instruments, dance activities, and/or dress up clothes. Materials in small bins may be easier to clean up. Offering dance activities or indoor gross motor activities in open areas may not require a lot of materials. Make sure to offer some different activities for children to choose from. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 1225-030L Visit Date: 12/9/2025 Number Present: 7 Completed Date: 12/11/2025 Age: From 2 To 4 Total Minutes: 35 Time In: 04:58 PM Time Out: 05:33 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the visit was to investigate allegations of child care requirements during a complaint visit. Due to limited operating time remaining at the time of the visit, only monitoring was completed during the visit conducted on December 9, 2025. A computerized generated report of the visit conducted on December 9, 2025, was completed on December 10, 2025. The report was reviewed with Ms. Lewis on December 11, 2025, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mary Lewis. A signed copy of the visit summary was electronically emailed to you. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of December 9, 2025, prior to the visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions include daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 12/4/25 and sent to me on the same day. There are concerns regarding developmentally appropriate practice and safe environment. The allegation is that at approximately 5:05 p.m. each day, the remaining children, including those aged two (2) and three (3) years, are shown television programs on a laptop in Main Building. During this time, all areas of the center are closed, and carpeted areas are blocked off to keep the children confined to a specific space. Staff members allegedly stand behind the children’s chairs, which may result in delayed responses when addressing challenging behaviors. Additionally, no incident reports were created for injuries that occurred during this time. Additional information obtained by the Division include that there were fifteen (15) children in the blocked area watching TV as well as playing with materials from the center from the blocked area at approximately 5:00 pm on December 8, 2025. I arrived at the Main Building at shortly before 5:00 pm. I observed two (2) children being picked up by parents/guardians from the stand-alone building. As I approached the stand-alone building, I observed one (1) adult carrying one (1) child to the Main Building. I greeted two (2) group leaders. One (1) identified as a substitute closer for today, and the other staff member identified as a regular closer. The other regular staff members were temporarily out of the classroom with one (1) child. Melody Gonzales, Assistant Administrator, for the Main Building assisted me during the visit. When I entered the stand-alone building, I observed seven (7) children, two (2) to four (4) years of age, engaging in free play. Four (4) children were in the block area playing with pretend animals and vehicles, two (2) were in the housekeeping with stuffed animals and one (1) examined a stuffed animals with a magnifying glass. During my observation, no screen time was offered. Screen time activities were not listed on the activity plans. Screen time log was completed but it was not certain that the logs were completed during wrap-around hours. The classroom is used throughout the day. Ms. Gonzales assisted me in reviewing video footage and program records. The records were maintained in the Lion’s Building. Ms. Gonzales was unable to pull up the video footage on the computer due to a password issue. In Ms. Lewis’s office in the Lion’s Building, I reviewed the incident log and an incident report. One incident was logged for a child who attends wrap-around care; however, the incident did not occur during wrap-around hours. On December 10, 2025, Ms. Lewis sent me two (2) video files via email—one (1) from December 2, 2025, at 5:14 p.m., and the other from December 8, 2025, at 5:15 p.m. In the video footage from December 2, 2025, several children were observed playing in a classroom in the Main Building. One (1) of the group leaders brought a laptop/tablet, played cartoon, and placed the device on a shelf. Some of the children were observed watching it while seated in the carpeted area. The cartoon played for at least ten (10) minutes and thirteen (13) seconds. In the video footage from December 8, 2025, several children were observed playing in the stand-alone building. One (1) of the group leaders brought a laptop/tablet, played a cartoon, and placed it on a shelf near the entrance/exit door. Staff members were seated in the block area—one (1) on a chair blocking the entry/exit to the block area, and the other on a shelf. It appears that “Frosty the Snowman” was playing on the laptop/tablet. The show played for a minimum of eleven (11) minutes and fifteen (15) seconds. During this time, several parents arrived, and some children were picked up. Based on the observations and program records, the allegation of developmentally inappropriate practice was substantiated. On both December 2, 2025, and December 8, 2025, the group leaders played a cartoon on a device as part of their typical routine. It is inferred that cartoons are regularly played during the last thirty (30) minutes of the wrap-around program, although the duration of time the cartoon plays each day varies. The allegation of a violation related to a safe environment is unsubstantiated due to a lack of evidence. During the observation, no children were injured. Additionally, staff members were easily accessible to the children in the video footage from both days. There was not sufficient evidence to indicate that supervision was inadequate. The following violations were documented during today’s visit: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. On December 2, 2025, a cartoon was played on a device and shown to a group of children, ages two (2) to four (4), for a minimum of ten (10) minutes and thirteen (13) seconds in a classroom in the Main Building. On December 8, 2025, a cartoon was played on a device and shown to a group of children, ages two (2) to four (4), in the block center of the stand-alone building for a minimum of eleven (11) minutes and fifteen (15) seconds. .0510(f) following violations were documented during today’s visit: Technical assistance was provided as follows: In your compliance letter, please verify that you reviewed the child care rule. 544: screen time for children under three (3): Screen time must not be offered to children under three (3) years of age. Refer to 10A NCAC 09 .0510(f). To comply, please review child care rule 10A NCAC 09 .0510(f) with your closers. In your compliance letter, please verify that you reviewed the rules with your staff members. 10A NCAC 09 .0510 ACTIVITY AREAS (a) For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110-91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. (2) Centers with a licensed capacity of less than 30 children shall have at least four activity areas available. Separate groups of children may share use of the same activity areas. (3) Centers with a licensed capacity of 3 to 12 children located in a residence shall have at least four types of activities available. (b) In addition to the four activity areas that are available each day, each center shall have materials and equipment in sufficient quantity, as described in Subparagraph (d)(1) of this Rule, to ensure that the fifth activity area listed in G.S. 110-91(12) is made available at least once per month. (c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; and (6) each child under the age of 12 months shall be given supervised tummy time positioned on his or her stomach while awake and alert each day. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Achieving Compliance: You may submit a compliance letter for the other violations. 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 • Signature I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Behavioral management: Children often misbehave when they are confined in small space with many others or feel board. Providing choices of materials can be effective method to prevent such behaviors. Offer bins of toys, such as magnetic tiles, art activities, music instruments, dance activities, and/or dress up clothes. Materials in small bins may be easier to clean up. Offering dance activities or indoor gross motor activities in open areas may not require a lot of materials. Make sure to offer some different activities for children to choose from. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 1225-030L Visit Date: 12/9/2025 Number Present: 7 Completed Date: 12/11/2025 Age: From 2 To 4 Total Minutes: 35 Time In: 04:58 PM Time Out: 05:33 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the visit was to investigate allegations of child care requirements during a complaint visit. Due to limited operating time remaining at the time of the visit, only monitoring was completed during the visit conducted on December 9, 2025. A computerized generated report of the visit conducted on December 9, 2025, was completed on December 10, 2025. The report was reviewed with Ms. Lewis on December 11, 2025, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mary Lewis. A signed copy of the visit summary was electronically emailed to you. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of December 9, 2025, prior to the visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions include daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 12/4/25 and sent to me on the same day. There are concerns regarding developmentally appropriate practice and safe environment. The allegation is that at approximately 5:05 p.m. each day, the remaining children, including those aged two (2) and three (3) years, are shown television programs on a laptop in Main Building. During this time, all areas of the center are closed, and carpeted areas are blocked off to keep the children confined to a specific space. Staff members allegedly stand behind the children’s chairs, which may result in delayed responses when addressing challenging behaviors. Additionally, no incident reports were created for injuries that occurred during this time. Additional information obtained by the Division include that there were fifteen (15) children in the blocked area watching TV as well as playing with materials from the center from the blocked area at approximately 5:00 pm on December 8, 2025. I arrived at the Main Building at shortly before 5:00 pm. I observed two (2) children being picked up by parents/guardians from the stand-alone building. As I approached the stand-alone building, I observed one (1) adult carrying one (1) child to the Main Building. I greeted two (2) group leaders. One (1) identified as a substitute closer for today, and the other staff member identified as a regular closer. The other regular staff members were temporarily out of the classroom with one (1) child. Melody Gonzales, Assistant Administrator, for the Main Building assisted me during the visit. When I entered the stand-alone building, I observed seven (7) children, two (2) to four (4) years of age, engaging in free play. Four (4) children were in the block area playing with pretend animals and vehicles, two (2) were in the housekeeping with stuffed animals and one (1) examined a stuffed animals with a magnifying glass. During my observation, no screen time was offered. Screen time activities were not listed on the activity plans. Screen time log was completed but it was not certain that the logs were completed during wrap-around hours. The classroom is used throughout the day. Ms. Gonzales assisted me in reviewing video footage and program records. The records were maintained in the Lion’s Building. Ms. Gonzales was unable to pull up the video footage on the computer due to a password issue. In Ms. Lewis’s office in the Lion’s Building, I reviewed the incident log and an incident report. One incident was logged for a child who attends wrap-around care; however, the incident did not occur during wrap-around hours. On December 10, 2025, Ms. Lewis sent me two (2) video files via email—one (1) from December 2, 2025, at 5:14 p.m., and the other from December 8, 2025, at 5:15 p.m. In the video footage from December 2, 2025, several children were observed playing in a classroom in the Main Building. One (1) of the group leaders brought a laptop/tablet, played cartoon, and placed the device on a shelf. Some of the children were observed watching it while seated in the carpeted area. The cartoon played for at least ten (10) minutes and thirteen (13) seconds. In the video footage from December 8, 2025, several children were observed playing in the stand-alone building. One (1) of the group leaders brought a laptop/tablet, played a cartoon, and placed it on a shelf near the entrance/exit door. Staff members were seated in the block area—one (1) on a chair blocking the entry/exit to the block area, and the other on a shelf. It appears that “Frosty the Snowman” was playing on the laptop/tablet. The show played for a minimum of eleven (11) minutes and fifteen (15) seconds. During this time, several parents arrived, and some children were picked up. Based on the observations and program records, the allegation of developmentally inappropriate practice was substantiated. On both December 2, 2025, and December 8, 2025, the group leaders played a cartoon on a device as part of their typical routine. It is inferred that cartoons are regularly played during the last thirty (30) minutes of the wrap-around program, although the duration of time the cartoon plays each day varies. The allegation of a violation related to a safe environment is unsubstantiated due to a lack of evidence. During the observation, no children were injured. Additionally, staff members were easily accessible to the children in the video footage from both days. There was not sufficient evidence to indicate that supervision was inadequate. The following violations were documented during today’s visit: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. On December 2, 2025, a cartoon was played on a device and shown to a group of children, ages two (2) to four (4), for a minimum of ten (10) minutes and thirteen (13) seconds in a classroom in the Main Building. On December 8, 2025, a cartoon was played on a device and shown to a group of children, ages two (2) to four (4), in the block center of the stand-alone building for a minimum of eleven (11) minutes and fifteen (15) seconds. .0510(f) following violations were documented during today’s visit: Technical assistance was provided as follows: In your compliance letter, please verify that you reviewed the child care rule. 544: screen time for children under three (3): Screen time must not be offered to children under three (3) years of age. Refer to 10A NCAC 09 .0510(f). To comply, please review child care rule 10A NCAC 09 .0510(f) with your closers. In your compliance letter, please verify that you reviewed the rules with your staff members. 10A NCAC 09 .0510 ACTIVITY AREAS (a) For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110-91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. (2) Centers with a licensed capacity of less than 30 children shall have at least four activity areas available. Separate groups of children may share use of the same activity areas. (3) Centers with a licensed capacity of 3 to 12 children located in a residence shall have at least four types of activities available. (b) In addition to the four activity areas that are available each day, each center shall have materials and equipment in sufficient quantity, as described in Subparagraph (d)(1) of this Rule, to ensure that the fifth activity area listed in G.S. 110-91(12) is made available at least once per month. (c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; and (6) each child under the age of 12 months shall be given supervised tummy time positioned on his or her stomach while awake and alert each day. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Achieving Compliance: You may submit a compliance letter for the other violations. 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 • Signature I must receive your compliance statement by 12/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Behavioral management: Children often misbehave when they are confined in small space with many others or feel board. Providing choices of materials can be effective method to prevent such behaviors. Offer bins of toys, such as magnetic tiles, art activities, music instruments, dance activities, and/or dress up clothes. Materials in small bins may be easier to clean up. Offering dance activities or indoor gross motor activities in open areas may not require a lot of materials. Make sure to offer some different activities for children to choose from. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 1025-302L Visit Date: 11/5/2025 Number Present: 144 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 114 Time In: 09:21 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s self-report visit was to investigate an incident that was reported by the operator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Lewis assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. This facility is certified Developmental Day and NC Pre-K. The self-report was received by the Division of Child Development and Early Education on October 21, 2025, and forwarded to me on October 22, 2025. There were concerns regarding supervision. According to the information the Division received, the incident occurred on October 17, 2025, at approximately 5:04 p.m. A group of six (6) children with two (2) staff members left the P1 (Main Building) playground at 5:04 p.m. and transitioned to the P3 playground to join another group already present there. During the transition, one (1) child, age two (2), was left unattended on the P1 playground for approximately three (3) minutes and forty-five (45) seconds. At that time, there were seven (7) children with four (4) staff members on the P3 playground. The self-report included the following corrective actions: The two (2) staff members present on the P1 playground would receive a plan of action. Implementation of name-to-face procedures using the “laminated child” system. A mandatory meeting was scheduled for October 21, 2025, at 6:30 p.m. A “no tolerance” policy regarding the “laminated child” process was developed, and the staff member who failed to follow the process received a final written warning. Upon arrival, I announced my presence and the purpose of the visit. An interview with Ms. Lewis and review of the video footage confirmed the following: On October 17, 2025, a child, who was two (2) years old, was left unattended for approximately three (3) to four (4) minutes on the P1 playground at the Main Building at approximately 5:04 p.m. The incident occurred during a transition when a group of five (5) children and two (2) staff members moved from the P1 playground to the P3 playground to combine for the last hour of care. During the transition, two (2) staff members and four (4) children left the P1 playground, leaving one (1) child, age two (2), behind. In the video footage, three (3) adults and six (6) children were observed on the P1 playground at 5:02 p.m. According to Ms. Lewis, one (1) of the adults was a parent who was there to pick up a child. At 5:04 p.m., two (2) staff members and four (4) children left the playground and transitioned to the P3 playground. The parent and one (1) child also left shortly after, leaving one (1) child alone on the playground. The unattended child was seen playing in the playhouse facing the parking lot. The child walked around the playground and brought a pushcart to the playhouse. At 5:07 p.m., a staff member was seen approaching the playground. He/she entered the P1 playground, picked up the child from the playhouse, and exited the playground by 5:08 p.m. The P3 playground was not visible in the video footage. The P3 playground is located near the pool on the right side of the Main Building, while the P1 playground is located in front of the building. To transition from P1 to P3, the group must exit the P1 playground, walk along the sidewalk, and enter the P3 playground. However, the P1 playground is visible from the P3 playground. Ms. Lewis and I discussed the corrective action plan that the program implemented following the incident. On October 21, 2025, at 6:30 p.m., a mandatory staff meeting was held to review the “laminated child” policy, rules and regulations, supervision policies, transition logs, and name-to-face procedures. The staff members involved in the incident received written disciplinary action, and the new “laminated child” procedures were implemented. The “laminated child” procedure involves using pictures of each child in the classroom. A whiteboard is mounted on the wall by the back door in each classroom, and another is hung on the fence of each playground. Upon children’s arrival, their pictures are moved to the “check-in” side of the classroom whiteboard. When transitioning to the playground, classroom staff members conduct the name-to-face process and bring the children’s pictures to the playground. As they complete the name-to-face check, they place the corresponding pictures on the playground whiteboard. During today’s visit, sixteen (16) children, all age three (3), were present with three (3) staff members in classroom M-2. When the group transitioned outside, there were two (2) children’s pictures left on the classroom whiteboard, indicating that those children were absent. Sixteen (16) pictures were placed on the P3 playground whiteboard where the children played. The children ran down the hill, pushed carts, ran, and engaged in other gross motor activities. There were eleven (11) children, all age two (2), present in classroom M-4 with three (3) staff members. The children engaged in free play with puzzles, housekeeping toys, paper, and crayons. The whiteboard located by the back door indicated that all eleven (11) children enrolled were checked in. According to Ms. Lewis, periodic monitoring of the whiteboards is conducted in both the classrooms and on the playgrounds. Additionally, the name-to-face logs are submitted to her weekly. Supervision during today’s visit was adequate. The following violation was cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On October 17, 2025, a child who was two-year-old, was left unattended for approximately three (3) to four (4) minutes on the P1 playground at the Main Building at approximately 5:04 p.m. The incident occurred during a transition when a group of five (5) children and two (2) staff members moved from the P1 playground to the P3 playground to combine for the last hour of care. During the transition, two (2) staff members and four (4) children left the P1 playground, leaving one (1) child, age two (2), behind. .1801(a)(1-5) Technical assistance was provided as follows: 303: adequate supervision Children must be adequately supervised at all times. Even though an appropriate transition plan is in place, additional administrative oversight is necessary to ensure that all staff members are following the procedures consistently. Furthermore, each staff member—regardless of assigned position—must implement and adhere to the established procedures. During transitions, staff members shall conduct head counts and/or name-to-face counts and must communicate and verify their counts with one another out loud. To strengthen supervision during transition times, staff members should maintain continuous visual supervision of all children while moving between areas. One staff member should be designated to lead the group while another remains at the end to ensure that no child is left behind. Staff must also verify the total number of children in care at all times, especially during high-traffic periods such as pick-up time, to ensure accuracy in supervision and accountability. Before leaving any area, staff members should perform a final “sweep” of the environment to confirm that no child remains behind. Administrators should periodically monitor transitions, provide feedback, and conduct refresher training as needed to reinforce proper supervision, communication, and accountability practices. Achieving Compliance: A follow-up visit will be conducted according to the procedure for 10A NCAC 09 .1801(a)(1-5). The compliance must be verified during the follow-up visit. Therefore, you are not required to submit a compliance statement unless you choose to do so. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 1025-302L Visit Date: 11/5/2025 Number Present: 144 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 114 Time In: 09:21 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s self-report visit was to investigate an incident that was reported by the operator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Lewis assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. This facility is certified Developmental Day and NC Pre-K. The self-report was received by the Division of Child Development and Early Education on October 21, 2025, and forwarded to me on October 22, 2025. There were concerns regarding supervision. According to the information the Division received, the incident occurred on October 17, 2025, at approximately 5:04 p.m. A group of six (6) children with two (2) staff members left the P1 (Main Building) playground at 5:04 p.m. and transitioned to the P3 playground to join another group already present there. During the transition, one (1) child, age two (2), was left unattended on the P1 playground for approximately three (3) minutes and forty-five (45) seconds. At that time, there were seven (7) children with four (4) staff members on the P3 playground. The self-report included the following corrective actions: The two (2) staff members present on the P1 playground would receive a plan of action. Implementation of name-to-face procedures using the “laminated child” system. A mandatory meeting was scheduled for October 21, 2025, at 6:30 p.m. A “no tolerance” policy regarding the “laminated child” process was developed, and the staff member who failed to follow the process received a final written warning. Upon arrival, I announced my presence and the purpose of the visit. An interview with Ms. Lewis and review of the video footage confirmed the following: On October 17, 2025, a child, who was two (2) years old, was left unattended for approximately three (3) to four (4) minutes on the P1 playground at the Main Building at approximately 5:04 p.m. The incident occurred during a transition when a group of five (5) children and two (2) staff members moved from the P1 playground to the P3 playground to combine for the last hour of care. During the transition, two (2) staff members and four (4) children left the P1 playground, leaving one (1) child, age two (2), behind. In the video footage, three (3) adults and six (6) children were observed on the P1 playground at 5:02 p.m. According to Ms. Lewis, one (1) of the adults was a parent who was there to pick up a child. At 5:04 p.m., two (2) staff members and four (4) children left the playground and transitioned to the P3 playground. The parent and one (1) child also left shortly after, leaving one (1) child alone on the playground. The unattended child was seen playing in the playhouse facing the parking lot. The child walked around the playground and brought a pushcart to the playhouse. At 5:07 p.m., a staff member was seen approaching the playground. He/she entered the P1 playground, picked up the child from the playhouse, and exited the playground by 5:08 p.m. The P3 playground was not visible in the video footage. The P3 playground is located near the pool on the right side of the Main Building, while the P1 playground is located in front of the building. To transition from P1 to P3, the group must exit the P1 playground, walk along the sidewalk, and enter the P3 playground. However, the P1 playground is visible from the P3 playground. Ms. Lewis and I discussed the corrective action plan that the program implemented following the incident. On October 21, 2025, at 6:30 p.m., a mandatory staff meeting was held to review the “laminated child” policy, rules and regulations, supervision policies, transition logs, and name-to-face procedures. The staff members involved in the incident received written disciplinary action, and the new “laminated child” procedures were implemented. The “laminated child” procedure involves using pictures of each child in the classroom. A whiteboard is mounted on the wall by the back door in each classroom, and another is hung on the fence of each playground. Upon children’s arrival, their pictures are moved to the “check-in” side of the classroom whiteboard. When transitioning to the playground, classroom staff members conduct the name-to-face process and bring the children’s pictures to the playground. As they complete the name-to-face check, they place the corresponding pictures on the playground whiteboard. During today’s visit, sixteen (16) children, all age three (3), were present with three (3) staff members in classroom M-2. When the group transitioned outside, there were two (2) children’s pictures left on the classroom whiteboard, indicating that those children were absent. Sixteen (16) pictures were placed on the P3 playground whiteboard where the children played. The children ran down the hill, pushed carts, ran, and engaged in other gross motor activities. There were eleven (11) children, all age two (2), present in classroom M-4 with three (3) staff members. The children engaged in free play with puzzles, housekeeping toys, paper, and crayons. The whiteboard located by the back door indicated that all eleven (11) children enrolled were checked in. According to Ms. Lewis, periodic monitoring of the whiteboards is conducted in both the classrooms and on the playgrounds. Additionally, the name-to-face logs are submitted to her weekly. Supervision during today’s visit was adequate. The following violation was cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On October 17, 2025, a child who was two-year-old, was left unattended for approximately three (3) to four (4) minutes on the P1 playground at the Main Building at approximately 5:04 p.m. The incident occurred during a transition when a group of five (5) children and two (2) staff members moved from the P1 playground to the P3 playground to combine for the last hour of care. During the transition, two (2) staff members and four (4) children left the P1 playground, leaving one (1) child, age two (2), behind. .1801(a)(1-5) Technical assistance was provided as follows: 303: adequate supervision Children must be adequately supervised at all times. Even though an appropriate transition plan is in place, additional administrative oversight is necessary to ensure that all staff members are following the procedures consistently. Furthermore, each staff member—regardless of assigned position—must implement and adhere to the established procedures. During transitions, staff members shall conduct head counts and/or name-to-face counts and must communicate and verify their counts with one another out loud. To strengthen supervision during transition times, staff members should maintain continuous visual supervision of all children while moving between areas. One staff member should be designated to lead the group while another remains at the end to ensure that no child is left behind. Staff must also verify the total number of children in care at all times, especially during high-traffic periods such as pick-up time, to ensure accuracy in supervision and accountability. Before leaving any area, staff members should perform a final “sweep” of the environment to confirm that no child remains behind. Administrators should periodically monitor transitions, provide feedback, and conduct refresher training as needed to reinforce proper supervision, communication, and accountability practices. Achieving Compliance: A follow-up visit will be conducted according to the procedure for 10A NCAC 09 .1801(a)(1-5). The compliance must be verified during the follow-up visit. Therefore, you are not required to submit a compliance statement unless you choose to do so. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0925-388L Visit Date: 10/1/2025 Number Present: 128 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 155 Time In: 11:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements during a complaint visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Tammy Scott, Assistant Administrator, during the visit. A signed copy of the visit summary was electronically emailed to Mary Lewis, Administrator. Ms. Scott assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. This facility is certified Developmental Day and NC Pre-K. The FYI was received by the Division of Child Development and Early Education on 9/29/25 and forwarded to me on 9/30/25. The notification concerned a medication error that occurred on 9/26/25. The incident actually occurred on 9/24/25 at 11:00 am, when a staff member administered two (2) puffs of Albuterol Sulfate to a child who was three (3) years old. The medication was prescribed to the child. Two (2) staff members were present but either staff member was a regular classroom staff member. A second staff member, who had previously taught the child and was familiar with the child’s medical needs, quickly recognized that Albuterol Sulfate had been administered in error instead of Budesonide/Formoterol. Administrator Mary Lewis submitted a self-report, the medication error form, and additional documentation on 9/29/25. Upon my arrival, I announced my presence and the purpose of the visit. In space M-2, a group of children had just finished lunch, which consisted of chicken pot pie with mixed vegetables, a biscuit, applesauce, and milk. The children were resting on their cots. The child’s asthma control medication, Budesonide/Formoterol Fumarate Dihydrate 160/4.5, was stored in a locked box above the refrigerator. The medication’s permission form and action plan were current. According to the medication log, the last administration occurred on 9/24/25 at 11:20 am. The rescue inhaler, Albuterol Sulfate, was stored in a backpack with a current permission form and action plan. It was last administered at 11:00 am on 9/24/25. This administration was identified as the medication error. According to the log, both Budesonide/Formoterol and Albuterol were administered to the child on 9/24/25, twenty (20) minutes apart. The staff member who administered Budesonide/Formoterol stated that she realized around 11:00 am that Albuterol had been administered in error. She immediately contacted the child’s parent. The parent instructed, via phone, that Budesonide/Formoterol should be administered in addition to the mistakenly given Albuterol. No medical professionals were contacted because the parent was not concerned about the medication error, per staff interview. The following violations were documented during today’s visit Violation Number Comment Rule 1880 Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. Rescue inhaler, Albuterol Sulfate was administered to a child, who was three (3) years of age, at 11:00 am on 9/24/25 instead of controlling medication, Budesonide/Formoterol Fumarate Dihydrate. .0803(2)(d) Technical assistance was provided as follows: 1880: Administrating medication Always check, 5R – right medication, right child, right route, right time, right dosage before administering any medications. Periodic training is strongly recommended to review the procedures as well as emergency resources, such as Emergency Medical Care Plan, Poison Control, Child Care Health Consultant, etc. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (d) shall be administered according to the prescription, using amount and frequency of dosage specified on the label. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature I must receive your compliance statement by 10/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: When medication is administered in error, the child care center must either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child's parent, observe the child, and include all the information when documenting the error in writing. See the rule reference for .0803(14) below. A quick web search indicates that albuterol, which is a short-acting β₂-agonist, and budesonide/formoterol, which is a combination inhaled corticosteroid and long-acting β₂-agonist, are sometimes used together in asthma management. Information found online suggests that taking these medications together is not typically described as life-threatening. However, the determination of safety in the event of a medication error shall only be made by medical professionals with the appropriate knowledge and experience. In the event of a medication error, staff should respond based on the child’s condition. If the child shows any signs of distress or unusual behaviors—such as difficulty breathing, wheezing, rapid heartbeat, or confusion—911 should be called immediately. If the child appears normal and without symptoms, parents or guardians should be contacted right away, and as well as the prescribing medical professional should be consulted for direction. If prescribing medical professional is unavailable, Poison Control is a good alternative. Because different asthma medications can have specific risks when used incorrectly or in the wrong combination, it is essential that medication administration be guided strictly by medical instructions. Staff members should never make independent judgments about whether medications are safe to combine and should always rely on sources including parents and medical professional(s) when questions or errors arise. In the Main-2 classroom, the Emergency Medical Care Plan is posted high on the bulletin board, making it difficult to review. The medication poster is located on the side of the refrigerator. Staff members should be familiar with these resources, review them regularly, and know who to contact and which organizations to notify in the event of an emergency. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (14) If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care center shall: (a) call 911 in accordance with CPR or First Aid training recommendations; (b) notify the center director; (c) contact the child's parent; (d) observe the child; and (e) document the medication error in writing, including: (i) the child's name and date of birth; (ii) the type and dosage of medication administered; (iii) the name of the person who administered the medication; (iv) the date and time of the error; (v) the signature of the child care administrator, the parent and the staff member who administered the medication; (vi) the actions taken by the center following the error; and (vii) the actions that will be taken by the center to prevent a future error. This documentation shall be maintained in the child's file. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0925-388L Visit Date: 10/1/2025 Number Present: 128 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 155 Time In: 11:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements during a complaint visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Tammy Scott, Assistant Administrator, during the visit. A signed copy of the visit summary was electronically emailed to Mary Lewis, Administrator. Ms. Scott assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. This facility is certified Developmental Day and NC Pre-K. The FYI was received by the Division of Child Development and Early Education on 9/29/25 and forwarded to me on 9/30/25. The notification concerned a medication error that occurred on 9/26/25. The incident actually occurred on 9/24/25 at 11:00 am, when a staff member administered two (2) puffs of Albuterol Sulfate to a child who was three (3) years old. The medication was prescribed to the child. Two (2) staff members were present but either staff member was a regular classroom staff member. A second staff member, who had previously taught the child and was familiar with the child’s medical needs, quickly recognized that Albuterol Sulfate had been administered in error instead of Budesonide/Formoterol. Administrator Mary Lewis submitted a self-report, the medication error form, and additional documentation on 9/29/25. Upon my arrival, I announced my presence and the purpose of the visit. In space M-2, a group of children had just finished lunch, which consisted of chicken pot pie with mixed vegetables, a biscuit, applesauce, and milk. The children were resting on their cots. The child’s asthma control medication, Budesonide/Formoterol Fumarate Dihydrate 160/4.5, was stored in a locked box above the refrigerator. The medication’s permission form and action plan were current. According to the medication log, the last administration occurred on 9/24/25 at 11:20 am. The rescue inhaler, Albuterol Sulfate, was stored in a backpack with a current permission form and action plan. It was last administered at 11:00 am on 9/24/25. This administration was identified as the medication error. According to the log, both Budesonide/Formoterol and Albuterol were administered to the child on 9/24/25, twenty (20) minutes apart. The staff member who administered Budesonide/Formoterol stated that she realized around 11:00 am that Albuterol had been administered in error. She immediately contacted the child’s parent. The parent instructed, via phone, that Budesonide/Formoterol should be administered in addition to the mistakenly given Albuterol. No medical professionals were contacted because the parent was not concerned about the medication error, per staff interview. The following violations were documented during today’s visit Violation Number Comment Rule 1880 Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. Rescue inhaler, Albuterol Sulfate was administered to a child, who was three (3) years of age, at 11:00 am on 9/24/25 instead of controlling medication, Budesonide/Formoterol Fumarate Dihydrate. .0803(2)(d) Technical assistance was provided as follows: 1880: Administrating medication Always check, 5R – right medication, right child, right route, right time, right dosage before administering any medications. Periodic training is strongly recommended to review the procedures as well as emergency resources, such as Emergency Medical Care Plan, Poison Control, Child Care Health Consultant, etc. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (d) shall be administered according to the prescription, using amount and frequency of dosage specified on the label. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature I must receive your compliance statement by 10/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: When medication is administered in error, the child care center must either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child's parent, observe the child, and include all the information when documenting the error in writing. See the rule reference for .0803(14) below. A quick web search indicates that albuterol, which is a short-acting β₂-agonist, and budesonide/formoterol, which is a combination inhaled corticosteroid and long-acting β₂-agonist, are sometimes used together in asthma management. Information found online suggests that taking these medications together is not typically described as life-threatening. However, the determination of safety in the event of a medication error shall only be made by medical professionals with the appropriate knowledge and experience. In the event of a medication error, staff should respond based on the child’s condition. If the child shows any signs of distress or unusual behaviors—such as difficulty breathing, wheezing, rapid heartbeat, or confusion—911 should be called immediately. If the child appears normal and without symptoms, parents or guardians should be contacted right away, and as well as the prescribing medical professional should be consulted for direction. If prescribing medical professional is unavailable, Poison Control is a good alternative. Because different asthma medications can have specific risks when used incorrectly or in the wrong combination, it is essential that medication administration be guided strictly by medical instructions. Staff members should never make independent judgments about whether medications are safe to combine and should always rely on sources including parents and medical professional(s) when questions or errors arise. In the Main-2 classroom, the Emergency Medical Care Plan is posted high on the bulletin board, making it difficult to review. The medication poster is located on the side of the refrigerator. Staff members should be familiar with these resources, review them regularly, and know who to contact and which organizations to notify in the event of an emergency. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (14) If medication is administered in error, whether administering the wrong dosage, giving to the wrong child, or giving the incorrect type of medicine, the child care center shall: (a) call 911 in accordance with CPR or First Aid training recommendations; (b) notify the center director; (c) contact the child's parent; (d) observe the child; and (e) document the medication error in writing, including: (i) the child's name and date of birth; (ii) the type and dosage of medication administered; (iii) the name of the person who administered the medication; (iv) the date and time of the error; (v) the signature of the child care administrator, the parent and the staff member who administered the medication; (vi) the actions taken by the center following the error; and (vii) the actions that will be taken by the center to prevent a future error. This documentation shall be maintained in the child's file. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0725-366L Visit Date: 7/30/2025 Number Present: 160 Completed Date: 7/30/2025 Age: From 0 To 12 Total Minutes: 115 Time In: 09:01 AM Time Out: 10:56 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements during a Self-report/FYI visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lewis and Tammy Scott, assistant director assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. This facility is certified Developmental Day and NC Pre-K. The FYI was received by the Division of Child Development and Early Education on 7/25/25 and sent to me on the same day. There are concerns regarding supervision. On July 24, 2025, at 3:30 pm, a child, three (3) years of age, was left unattended in the bathroom/classroom for approximately one (1) minute during the transition from the classroom to the playground. During the transition from the classroom to the playground, a child, who was three (3) years of age, used the bathroom. The staff members did not conduct name-to-face counts prior to existing the classroom resulted in the child being left in the classroom. The staff member conducted a name-to-face count on the playground noticing the child missing. The child was out of the bathroom and headed toward the door to the playground when a staff member returned to the classroom to find the child. Upon arrival, I announced my presence and the purpose of the visit. I observed the classroom and transition process in space C-4. A group of twelve (12) children, three-to-four years of age, with three (3) staff members were present. One (1) child arrived during the observation. The bathroom can be seen from the exit door to the playground. However, the toilet cannot be seen from the door. Therefore, if a child is sitting on the toilet, it is not visible from the staff member standing at the doorway to the playground. The children in C-4 engaged in free play. The children built various structures using wooden blocks, gears, scarves and chairs, and other materials. The noise level was high due to one (1) child crying as well as the reflection in the classroom. One (1) staff member attended to the child who was crying, one (1) staff member moved about, and one (1) staff member sat with a child who stacked pegs. Ms. Lewis and Ms. Scott interacted with the children during observation. After cleaning up time, the children attended a brief group time. During the group, a staff member reviewed the schedule with the children. After group time, a staff member called each child’s name and directed him/her to the exit door. The children lined up as they were called. Upon exiting the door, the staff member in the front on the line called counted as well as called each child’s name (e.g., one – Thomas, two-Mary, etc.). The transition process was adequate. Per Ms. Lewis and Ms. Scott, transition is required for every threshold crossing, and recorded on the attendance sheet. Staff training will be held on August 21 and 22, 2025, to review transition and supervision procedures. The following violation was documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On July 24, 2025, at 3:30 pm, a child who was three (3) years of age, was left unattended in the classroom for approximately one (1) minute during the transition from the classroom to the playground. The child was in the bathroom at the time of the incident. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children must be adequately supervised. Staff members must know locations of all children at all times. Name-to-face counts prior to transition as well as at the destination is important to make sure that all children are accounted for. Refer to .1801(a)(1-5). During transition, head counts or name-to-face counts must be taken during the transition. Additionally, each staff member must know how many children are in care at all times. Otherwise, the purpose of head counts or name-to-face counts are not met. It is the best practice to count children throughout the day and communicate with co-teachers on the counts. Achieving Compliance: A follow-up visit will be conducted to verify compliance of .1801(a)(1-5). 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 8/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1101 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0701 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0803 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 148 Completed Date: 7/22/2025 Age: From 0 To 12 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mary Lewis, Administrator, during the visit. Dawn McCrary, Child Care Consultant, Karla Terry, Child Care Consultant, and Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was printed and shared with you and electronically emailed to you. Ms. Lewis was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. Permit type – five-star center license issued on 10/12/23.Special Services/Restrictions – daytime care, meets enhanced ratios, enhanced space, children under 2 ½ years old in rooms with direct exits only. This program is certified Developmental Day. The last annual compliance visit was conducted on 1/9/25. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 12/18/24 with twenty-two (22) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/25/21 for food prep sinks, Main building, Community building and School-age Building without hazards. Sinks for the Lion’s Building were tested on 11/8/23 and the results show no hazards. There are no records of lead paint and asbestos testing. Ms. Lewis shared documents of lead paint testing. Per report, lead paint hazards were tested on 2/26/25 and 2/17/25. Community Building: Kaitlyn Marshall, Child Care Consultant, monitored the Community building with Heather Wilson, Assistant Director, accompanying. The last fire drill for the Community Building was conducted on 6/24/25. The last lockdown drill for the Community Building was conducted on 5/23/25. The last playground inspection for the Community building was conducted on 6/24/25. Upon arrival I was greeted by Ms. Wilson. Ms. Wilson accompanied me on the walkthrough of all indoor and outdoor caregiving spaces. In the outdoor learning environment, children were observed digging in sandboxes and sand tables, playing chasing games with teachers and peers, jumping on a single person trampoline, exploring bubbles and listening to music. In the indoor learning environments, children were observed molding shapes with playdoh, building small structures with magnatiles on a light table, creating art with various collage materials, and participating in routine caregiving activities such as handwashing and toileting. Interactions were positive and nurturing. Teachers were actively engaged with children. Children were adequately supervised at all times. School-Age Building: Dawn McCrary, Child Care Consultant, monitored the School Age Building. Samantha Hess, NC Pre K teacher, and Sarah Dickerson, Chief Compliance Officer, assisted during the visit. The children in the school-age 1 classroom were observed toileting, washing hands, and gathering water bottles to transition to the outdoor playground. The children in the school-age 2 classroom were observed participating in art, magna-tiles, Jenga, dramatic play, and reading. The children in the school-age 4 classroom were observed having free choice play on the outdoor playground. They were observed having sand play, climbing, socializing, and participating in ball play. The school-age space 3 is used only for tutoring and one-on-one meetings. The school-age space 5 was not in use during today’s visit due to the lack of staff. All interactions in the school-age building and playground were positive and nurturing. Supervision was adequate. The last fire drill for the School Age Building was conducted on 6/30/25. The last lockdown drill for the School Age Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/5/25. The next inspection is due 7/31/2025. Main Building: Kaoru Eddins, Child Care Consultant monitored the Main Building. Mary Lewis, Director, assisted me during the visit. The children enrolled in the Main Building were moved to different buildings to reduce classroom closures due to staffing shortages. The pool was inspected. No children enrolled in the program were present during the observation. Two (2) lifeguards were present, and the safety rules were posted on the fence. Per Ms. Lewis, only school-age children were allowed to use the pool for this summer. One (1) school-age child’s file was reviewed for the review of the operation’s aquatic policy. There is one (1) qualified lifeguard employed for the program. The lifeguard’s lifeguard certification was verified. Lion’s Building: Karla Terry, Child Care Consultant, monitored the Lions building. Emmilina Scott, Assistant Director, assisted during the visit. The last fire drill for the Lions Building was conducted on 6/30/25. The last lockdown drill for the Lions Building was conducted on 4/25/25. The next drill is due by 7/31/2025. The last playground inspection for the Lions building was conducted on 6/26/25. The infants and toddlers in the Lions Building were observed having morning snack, free play, routine care, story time, outdoor gross motor activities, and morning walk. The morning snack served was cinnamon raisin bread, cheese, and water. While monitoring the classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label, along with the In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Space L6 is currently closed and is being used for storage. While monitoring outdoors, I observed the playground at the back of the building was currently closed and used for storage. Fifteen (15) new staff files were monitored in full, and thirty-nine (39) existing staff files were monitored partially for criminal background letters, First Aid and CPR certificates, ITS/SIDS certificates and BSAC certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. Vehicles are monitored during annual compliance visit. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces C-1 and C-6. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K program has not started for this school year. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. Electrical cords were accessible to two year old children in classroom space C-3. 10A NCAC 09 .0604(f) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 6/23/25, had a medical report on file completed 6/24/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 6/23/25, had a TB screening on file completed 6/24/25. .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, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first six weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff, D.S., hired 3/3/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two weeks of employment. Staff C.T., hired 6/23/25, did not complete the required orientation topics within the first two weeks of employment. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. .1102(g) Technical assistance was provided as follows: Item #815: Furniture was moved in front of the electrical cords to make them inaccessible to children, during the visit. This is corrected. We discussed electrical cords must not be accessible to infants and toddlers according to rule .0604 (f). According to the definitions listed in rule .0102 (50), "toddler" means any child ages 13 months to 35 months of age. Moving forward, plan to scan the classrooms with infants and toddlers to ensure cords are inaccessible by placing them five (5) feet high or covering them with furniture that cannot be easily moved by children. Item #844: While monitoring classroom medications, in space L1, I observed one (1) emergency medication on-site without the original packaging and pharmacy label. We discussed that the original packaging and pharmacy label is needed. The parents can bring in the original packaging with a pharmacy label or the parent could go to the pharmacy to request another pharmacy label to be printed to bring in on-site with the mediation. Rule Reference: 10A NCAC 09.0803(2)(a) Item #847: In space L2- I observed one (1) diaper cream missing the dates for authorization to administer the medication. The assistant director added the dates during the visit. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item #849: In space L1, one (1) emergency medication permission to administer medication form expired 1/2025. In space L3- I observed one (1) emergency medication permission to administer medication form that expired 7/9/2025. When I asked staff about the form, they stated that the form was not updated and on file. They will get the parent to update the form. Rule Reference: 10A NCAC 09.0803(12) Item #1032 and #1033: We discussed Medical Assessments and TB test/screening due dates for staff. We discussed some staff are hired and then complete training off-site, before caring for children. We discussed the wording of rule .0701 (a) indicates the medical report must be on file prior to employment and the TB test or screening must be on file on or before the first day of work. Item #1035 Staff, TH hired 4/28/2025 emergency information was completed after the first day of employment on 4/30/2025. We discussed that when new staff begin on-boarding and is being compensated for their time, this is their first day of employment and all requirements are required based on this date. Rule Reference: 10A NCAC 09.0701(a) Item # 1045 and Item #1067: Staff, D.S., hired 3/3/2025, staff, TH hired 4/28/2025, and staff, A.G., hired 5/12/2025 , have orientation documentation that does not cover the required topics, nor has the hours of orientation distinguished per topic for the first two and six weeks of employment. The staff members will have orientation for the topics required and documented on file within the next two weeks as required. Rule Reference: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS; .1101(a)(b) Item #1897: Staff, D.S., hired 3/3/205, has not completed the required Recognizing and Responding to Suspicions of Maltreatment. The staff member will complete the training within the next two weeks as required. Rule Reference: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS; .1102(g) Lead Paint and Asbestos Testing: You must complete the program’s lead paint/Asbestos testing on Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ You must complete enrollment questionnaires for lead paint and asbestos separately. 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. 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 August 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 1955 Lead poisoning hazards 1959 Asbestos Hazards Lead Water testing: Lead water testing is required every three (3) years. Your last lead water testing was conducted in March 2021 for Main, Community, School-age Buildings and food prep sinks for the school. Please visit the Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ and follow the procedures. These violations were not cited during today’s visit. The asbestos and lead water re-testing were not verified due to the building director being on leave. Once the director returns, he/she will forward the documents to me. Based on the documentation, we may or may not add these violations. ABCMS staff roster: Please create a staff roster on the ABCMS. This item will be cited as violation during the next visit. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-105 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0225-286A Visit Date: 3/4/2025 Number Present: 156 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Bonnie Mathis, Licensing Supervisor, was also present during the visit. Sarah Rivenbark, administrator, accompanied us during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Rivenbark and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were confirmed during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The First Aid information sheet was posted in an area accessible to staff; however, on February 26, 2025, staff failed to wash a bite wound with soap and water as indicated on the First Aid information sheet. .0802(h) 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] On February 26, 2025, a staff member bit a child as a method of discipline. GS 110-91(10); .1803(a) 1810 There was a substantiation of child maltreatment. On March 11, 2025, the Division determined child maltreatment based on a physical injury to a child. GS 110-105.6(a) Violations must be corrected immediately. Within one week (March 11, 2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov. You may contact me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov, 828-788-0011 or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0225-286A Visit Date: 3/4/2025 Number Present: 156 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Bonnie Mathis, Licensing Supervisor, was also present during the visit. Sarah Rivenbark, administrator, accompanied us during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Rivenbark and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were confirmed during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The First Aid information sheet was posted in an area accessible to staff; however, on February 26, 2025, staff failed to wash a bite wound with soap and water as indicated on the First Aid information sheet. .0802(h) 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] On February 26, 2025, a staff member bit a child as a method of discipline. GS 110-91(10); .1803(a) 1810 There was a substantiation of child maltreatment. On March 11, 2025, the Division determined child maltreatment based on a physical injury to a child. GS 110-105.6(a) Violations must be corrected immediately. Within one week (March 11, 2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov. You may contact me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov, 828-788-0011 or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0225-286A Visit Date: 3/4/2025 Number Present: 156 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Bonnie Mathis, Licensing Supervisor, was also present during the visit. Sarah Rivenbark, administrator, accompanied us during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Rivenbark and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were confirmed during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The First Aid information sheet was posted in an area accessible to staff; however, on February 26, 2025, staff failed to wash a bite wound with soap and water as indicated on the First Aid information sheet. .0802(h) 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] On February 26, 2025, a staff member bit a child as a method of discipline. GS 110-91(10); .1803(a) 1810 There was a substantiation of child maltreatment. On March 11, 2025, the Division determined child maltreatment based on a physical injury to a child. GS 110-105.6(a) Violations must be corrected immediately. Within one week (March 11, 2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov. You may contact me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov, 828-788-0011 or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 2/3/2025 Number Present: 203 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 154 Time In: 10:26 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The restrictions on the permit include daytime care, meet enhanced ratios and space. Children under 2 ½ years old in rooms with direct exist only. The program is certified Developmental-Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There was a concern of safe environment. I conducted a complaint visit on 1/30/25. The allegation of a safe environment was unsubstantiated based on the video footage and the interview. However, a violation of nurture and care was cited during the visit based on video footage where a teacher was observed to aid a child get up from the floor by pulling the child’s hand. Today’s visit was to follow-up on the violation of nurture and care. I observed children in space M-5. Upon entering the classroom, there were eight (8) children, all two (2) years of age, present with one (1) teacher. An additional staff member came into the classroom shortly after my arrival. All children gathered around the table, and the teacher conducted liquid/solid/gas experiments using water and ice cubes in the plastic containers. One(1) child who sat at the end of the table had a plastic container to himself/herself. He/she was eating an ice cube. The other seven (7) children shared two (2) plastic containers. During the activity, three (3) children picked up ice cubes of the floor and put them in their mouths, and one (1) child picked up container and drunk the water in it. All children put their hands in the water in the containers. After the water/ice cube activity, the children washed their hands and transitioned to free play. Three (3) children were picked up during the time period, and all of them were picked up by their torso. I observed seven (7) children, all two (2) years of age from M-3, on the playground. The children played with slide structures, sand box accessories and other materials. I did not observe any children being picked up during the visit. During today’s visit, I combined monitoring for a violation of item 1824 – review of the EPR plan annually, which was cited during the annual compliance visit conducted on 1/9/25. The violation item 902 cited during a complaint visit conducted on 1/30/25 was marked corrected by consultant visit during the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Out of fifty-three (53) staff members, ten (10) staff members' EPR review was not completed on or before the due date for correction on 1/31/25. The violation was originally cited during annual compliance visit conducted on 1/9/25. An extension was granted through 1/31/25. .0607(e) 1860 Staff did not provide assistance to each child to ensure good hygiene. During water play in M-5, three (3) children picked up ice cubes off the floor and ate them. One (1) child put an ice cube in the mouth, put it back in the water, picked it up and put it in the mouth again. One (1) child picked up a plastic container and drunk the water that other children were playing. While children were putting their hands in the mouth and putting the hands back in the water, the children did not wash their hands. .0806(e) Technical assistance was provided as follows: 608: handwashing during water play Children must wash their hands before and after water play. Additionally, children shall wash their hands when they put their hands in their mouth or any other occasions that may prompt additional handwashing. Please refer to 15A NCAC 18A .2803 HANDWASHING 1824: Review of the EPR plan This item was originally cited during an annual compliance visit conducted on 1/9/25. An extension was granted through 1/31/25 to complete the correction of this violation. However, a review of the EPR plan was not completed by all staff members, therefore, a repeat violation of item 1824 was cited during today’s visit. Refer to 10A NCAC 09 .0607(e) 1860: good hygiene Staff shall provide assistance to each child to ensure good hygiene. Eating ice cubs off the floor and drinking water that was used in play by multiple children are not sanitary practice. Teachers must guide children to follow good hygiene by carefully examining developmentally appropriate practice. Playing ice can be much bigger than ice cubes to prevent children from putting them in their mouth. Observation of ice sharing shapes can be conducted in a closed container as well. Refer to 10A NCAC 09 .0806(e). Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/17/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of unintended injuries It is essential to practice picking up children by torso and not by their arms (hands). Picking children by arms or hands can lead to dislocation of joins, nursemaid elbow, sprain and other injuries regardless of teacher’s intentions. This practice must be reminded and practiced among teachers. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0806 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 2/3/2025 Number Present: 203 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 154 Time In: 10:26 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The restrictions on the permit include daytime care, meet enhanced ratios and space. Children under 2 ½ years old in rooms with direct exist only. The program is certified Developmental-Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There was a concern of safe environment. I conducted a complaint visit on 1/30/25. The allegation of a safe environment was unsubstantiated based on the video footage and the interview. However, a violation of nurture and care was cited during the visit based on video footage where a teacher was observed to aid a child get up from the floor by pulling the child’s hand. Today’s visit was to follow-up on the violation of nurture and care. I observed children in space M-5. Upon entering the classroom, there were eight (8) children, all two (2) years of age, present with one (1) teacher. An additional staff member came into the classroom shortly after my arrival. All children gathered around the table, and the teacher conducted liquid/solid/gas experiments using water and ice cubes in the plastic containers. One(1) child who sat at the end of the table had a plastic container to himself/herself. He/she was eating an ice cube. The other seven (7) children shared two (2) plastic containers. During the activity, three (3) children picked up ice cubes of the floor and put them in their mouths, and one (1) child picked up container and drunk the water in it. All children put their hands in the water in the containers. After the water/ice cube activity, the children washed their hands and transitioned to free play. Three (3) children were picked up during the time period, and all of them were picked up by their torso. I observed seven (7) children, all two (2) years of age from M-3, on the playground. The children played with slide structures, sand box accessories and other materials. I did not observe any children being picked up during the visit. During today’s visit, I combined monitoring for a violation of item 1824 – review of the EPR plan annually, which was cited during the annual compliance visit conducted on 1/9/25. The violation item 902 cited during a complaint visit conducted on 1/30/25 was marked corrected by consultant visit during the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Out of fifty-three (53) staff members, ten (10) staff members' EPR review was not completed on or before the due date for correction on 1/31/25. The violation was originally cited during annual compliance visit conducted on 1/9/25. An extension was granted through 1/31/25. .0607(e) 1860 Staff did not provide assistance to each child to ensure good hygiene. During water play in M-5, three (3) children picked up ice cubes off the floor and ate them. One (1) child put an ice cube in the mouth, put it back in the water, picked it up and put it in the mouth again. One (1) child picked up a plastic container and drunk the water that other children were playing. While children were putting their hands in the mouth and putting the hands back in the water, the children did not wash their hands. .0806(e) Technical assistance was provided as follows: 608: handwashing during water play Children must wash their hands before and after water play. Additionally, children shall wash their hands when they put their hands in their mouth or any other occasions that may prompt additional handwashing. Please refer to 15A NCAC 18A .2803 HANDWASHING 1824: Review of the EPR plan This item was originally cited during an annual compliance visit conducted on 1/9/25. An extension was granted through 1/31/25 to complete the correction of this violation. However, a review of the EPR plan was not completed by all staff members, therefore, a repeat violation of item 1824 was cited during today’s visit. Refer to 10A NCAC 09 .0607(e) 1860: good hygiene Staff shall provide assistance to each child to ensure good hygiene. Eating ice cubs off the floor and drinking water that was used in play by multiple children are not sanitary practice. Teachers must guide children to follow good hygiene by carefully examining developmentally appropriate practice. Playing ice can be much bigger than ice cubes to prevent children from putting them in their mouth. Observation of ice sharing shapes can be conducted in a closed container as well. Refer to 10A NCAC 09 .0806(e). Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/17/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of unintended injuries It is essential to practice picking up children by torso and not by their arms (hands). Picking children by arms or hands can lead to dislocation of joins, nursemaid elbow, sprain and other injuries regardless of teacher’s intentions. This practice must be reminded and practiced among teachers. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 2/3/2025 Number Present: 203 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 154 Time In: 10:26 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The restrictions on the permit include daytime care, meet enhanced ratios and space. Children under 2 ½ years old in rooms with direct exist only. The program is certified Developmental-Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There was a concern of safe environment. I conducted a complaint visit on 1/30/25. The allegation of a safe environment was unsubstantiated based on the video footage and the interview. However, a violation of nurture and care was cited during the visit based on video footage where a teacher was observed to aid a child get up from the floor by pulling the child’s hand. Today’s visit was to follow-up on the violation of nurture and care. I observed children in space M-5. Upon entering the classroom, there were eight (8) children, all two (2) years of age, present with one (1) teacher. An additional staff member came into the classroom shortly after my arrival. All children gathered around the table, and the teacher conducted liquid/solid/gas experiments using water and ice cubes in the plastic containers. One(1) child who sat at the end of the table had a plastic container to himself/herself. He/she was eating an ice cube. The other seven (7) children shared two (2) plastic containers. During the activity, three (3) children picked up ice cubes of the floor and put them in their mouths, and one (1) child picked up container and drunk the water in it. All children put their hands in the water in the containers. After the water/ice cube activity, the children washed their hands and transitioned to free play. Three (3) children were picked up during the time period, and all of them were picked up by their torso. I observed seven (7) children, all two (2) years of age from M-3, on the playground. The children played with slide structures, sand box accessories and other materials. I did not observe any children being picked up during the visit. During today’s visit, I combined monitoring for a violation of item 1824 – review of the EPR plan annually, which was cited during the annual compliance visit conducted on 1/9/25. The violation item 902 cited during a complaint visit conducted on 1/30/25 was marked corrected by consultant visit during the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Out of fifty-three (53) staff members, ten (10) staff members' EPR review was not completed on or before the due date for correction on 1/31/25. The violation was originally cited during annual compliance visit conducted on 1/9/25. An extension was granted through 1/31/25. .0607(e) 1860 Staff did not provide assistance to each child to ensure good hygiene. During water play in M-5, three (3) children picked up ice cubes off the floor and ate them. One (1) child put an ice cube in the mouth, put it back in the water, picked it up and put it in the mouth again. One (1) child picked up a plastic container and drunk the water that other children were playing. While children were putting their hands in the mouth and putting the hands back in the water, the children did not wash their hands. .0806(e) Technical assistance was provided as follows: 608: handwashing during water play Children must wash their hands before and after water play. Additionally, children shall wash their hands when they put their hands in their mouth or any other occasions that may prompt additional handwashing. Please refer to 15A NCAC 18A .2803 HANDWASHING 1824: Review of the EPR plan This item was originally cited during an annual compliance visit conducted on 1/9/25. An extension was granted through 1/31/25 to complete the correction of this violation. However, a review of the EPR plan was not completed by all staff members, therefore, a repeat violation of item 1824 was cited during today’s visit. Refer to 10A NCAC 09 .0607(e) 1860: good hygiene Staff shall provide assistance to each child to ensure good hygiene. Eating ice cubs off the floor and drinking water that was used in play by multiple children are not sanitary practice. Teachers must guide children to follow good hygiene by carefully examining developmentally appropriate practice. Playing ice can be much bigger than ice cubes to prevent children from putting them in their mouth. Observation of ice sharing shapes can be conducted in a closed container as well. Refer to 10A NCAC 09 .0806(e). Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/17/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of unintended injuries It is essential to practice picking up children by torso and not by their arms (hands). Picking children by arms or hands can lead to dislocation of joins, nursemaid elbow, sprain and other injuries regardless of teacher’s intentions. This practice must be reminded and practiced among teachers. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 1/30/2025 Number Present: 239 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 176 Time In: 09:04 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark and Amber Swepson, Assistance Director assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios and spaces. Children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There are concerns regarding a safe environment. Video footage was reviewed. The first incident occurred on January 14, 2025, at approximately 10:55 AM in M-5 (a stand-alone building near the Main Building). Three (3) maintenance crew members were testing the sprinkler system in the classroom. Two (2) maintenance personnel were working in the corner of the room near the bathroom, while one (1) maintenance personnel stood facing the rest of the classroom. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. The communication between the teacher and Ms. Swepson on Google Voice was also reviewed. In this communication, the teacher stated that the child started crying when the incident occurred and kept holding their "hand." The teacher placed ice on the child. The child was "good during lunch" but later appeared to be in pain during rest time. At that point, the teacher notified the child’s parent. In the report to the parent, the teacher used "wrist" instead of "hand," but the rest of the details remained the same. The teacher who was directly involved in the incident was not able to be interviewed. The teacher resigned and no longer worked for this program. The co-teacher in the classroom was interviewed. He/she had minimal knowledge of the incident or the child’s condition. He/she did not recall how the child reacted when the incident occurred or any communications from the teacher regarding this incident. The child received medical treatment after the incident. The child’s arm was re-aligned by the physician. The second incident occurred on January 15, 2025, at approximately 10:30 AM. Three (3) children, all two (2) years old, were observed with one (1) teacher in the housekeeping center. The children were setting up tables with pretend dishes. The teacher in the housekeeping center moved to the block center to address a conflict between children. While the teacher was in the block area, one (1) child picked up a green, circular plate and began hitting the other children in the housekeeping center. The child identified in the report was struck three (3) times, with the last hit involving the plate sliding across their forehead. After the third instance, the child went to the teacher in the block area to report the incident. Another teacher, who was in the changing area when the incident occurred, came out and removed the child who had hit the others from the housekeeping center. The pretend dish that was used during the incident was reviewed. The edge of the plate was smooth, and there were no cracks or tears. There is no evidence that this plate could cause any injuries if used appropriately. The child was taken to the doctor’s office by the parent due to the injury but did not receive stitches. The teachers supervised the classroom at the best of their abilities and addressed each situation. Based on the interview and video footages, the allegation regarding safe environment is unsubstantiated. However, lifting children by the arm is in appropriate due to high occurrence of injuries. Therefore, the following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was moved from one area to another in space M-5 on 1/14/25 at approximately 10:55 am and was injured in the process. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. One (1) of the maintenance personnel, J. Herman, present in space M-5 on 1/14/25 did not complete a criminal background check. The crew was working on sprinkler system in the classroom while children were present. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A maintenance personnel, J. Herman's criminal background letter was not available for review during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 904: Inappropriate discipline Child must be handles in nurturing and caring manner. Children must be picked up by torso and not by the arms. Picking up children by the arm can cause various injuries. All teachers shall be trained for the appropriate handling of children. 1041: completion of criminal background check 1757: qualification letter in file Three (3) maintenance personnels were in the room in M-5 on January 14, 2025, during the incident. One (1) of the personnels were outside contractors and two (2) of them were Eliada employees. One (1) of the two (2) Eliada employees have a valid qualification on file. However, the other person’s letter was not found during the visit. All employees that fit in the description must complete criminal background checks. The following are the rule references for employees who must complete criminal background checks. A copy of the qualifying letter after completion of criminal background checks must be maintained in the staff files. § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection. 10A NCAC 09 .0102 DEFINITIONS (9) "Child care provider" as defined by G.S. 110-90.2(a)(2) includes the following employees who have contact with the children in a child care program: (a) facility directors; (b) child care administrative staff; (c) teachers; (d) teachers' aides; (e) substitute providers; (f) uncompensated providers; (g) cooks; (h) maintenance personnel; and (i) drivers SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. Achieving Compliance: The facility received a violation regarding nurture and care today. A follow-up visit will be conducted in the near future to determine if staff are appropriately handling children per Child Care Rule G.S.110-91(10). You can include a corrective statement even if FU visit is required. If you choose to submit a corrective statement, make sure you follow procedures on receipt of compliance letter if this is included. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the nature of violation cited during today’s visit, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2701 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 1/30/2025 Number Present: 239 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 176 Time In: 09:04 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark and Amber Swepson, Assistance Director assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios and spaces. Children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There are concerns regarding a safe environment. Video footage was reviewed. The first incident occurred on January 14, 2025, at approximately 10:55 AM in M-5 (a stand-alone building near the Main Building). Three (3) maintenance crew members were testing the sprinkler system in the classroom. Two (2) maintenance personnel were working in the corner of the room near the bathroom, while one (1) maintenance personnel stood facing the rest of the classroom. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. The communication between the teacher and Ms. Swepson on Google Voice was also reviewed. In this communication, the teacher stated that the child started crying when the incident occurred and kept holding their "hand." The teacher placed ice on the child. The child was "good during lunch" but later appeared to be in pain during rest time. At that point, the teacher notified the child’s parent. In the report to the parent, the teacher used "wrist" instead of "hand," but the rest of the details remained the same. The teacher who was directly involved in the incident was not able to be interviewed. The teacher resigned and no longer worked for this program. The co-teacher in the classroom was interviewed. He/she had minimal knowledge of the incident or the child’s condition. He/she did not recall how the child reacted when the incident occurred or any communications from the teacher regarding this incident. The child received medical treatment after the incident. The child’s arm was re-aligned by the physician. The second incident occurred on January 15, 2025, at approximately 10:30 AM. Three (3) children, all two (2) years old, were observed with one (1) teacher in the housekeeping center. The children were setting up tables with pretend dishes. The teacher in the housekeeping center moved to the block center to address a conflict between children. While the teacher was in the block area, one (1) child picked up a green, circular plate and began hitting the other children in the housekeeping center. The child identified in the report was struck three (3) times, with the last hit involving the plate sliding across their forehead. After the third instance, the child went to the teacher in the block area to report the incident. Another teacher, who was in the changing area when the incident occurred, came out and removed the child who had hit the others from the housekeeping center. The pretend dish that was used during the incident was reviewed. The edge of the plate was smooth, and there were no cracks or tears. There is no evidence that this plate could cause any injuries if used appropriately. The child was taken to the doctor’s office by the parent due to the injury but did not receive stitches. The teachers supervised the classroom at the best of their abilities and addressed each situation. Based on the interview and video footages, the allegation regarding safe environment is unsubstantiated. However, lifting children by the arm is in appropriate due to high occurrence of injuries. Therefore, the following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was moved from one area to another in space M-5 on 1/14/25 at approximately 10:55 am and was injured in the process. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. One (1) of the maintenance personnel, J. Herman, present in space M-5 on 1/14/25 did not complete a criminal background check. The crew was working on sprinkler system in the classroom while children were present. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A maintenance personnel, J. Herman's criminal background letter was not available for review during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 904: Inappropriate discipline Child must be handles in nurturing and caring manner. Children must be picked up by torso and not by the arms. Picking up children by the arm can cause various injuries. All teachers shall be trained for the appropriate handling of children. 1041: completion of criminal background check 1757: qualification letter in file Three (3) maintenance personnels were in the room in M-5 on January 14, 2025, during the incident. One (1) of the personnels were outside contractors and two (2) of them were Eliada employees. One (1) of the two (2) Eliada employees have a valid qualification on file. However, the other person’s letter was not found during the visit. All employees that fit in the description must complete criminal background checks. The following are the rule references for employees who must complete criminal background checks. A copy of the qualifying letter after completion of criminal background checks must be maintained in the staff files. § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection. 10A NCAC 09 .0102 DEFINITIONS (9) "Child care provider" as defined by G.S. 110-90.2(a)(2) includes the following employees who have contact with the children in a child care program: (a) facility directors; (b) child care administrative staff; (c) teachers; (d) teachers' aides; (e) substitute providers; (f) uncompensated providers; (g) cooks; (h) maintenance personnel; and (i) drivers SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. Achieving Compliance: The facility received a violation regarding nurture and care today. A follow-up visit will be conducted in the near future to determine if staff are appropriately handling children per Child Care Rule G.S.110-91(10). You can include a corrective statement even if FU visit is required. If you choose to submit a corrective statement, make sure you follow procedures on receipt of compliance letter if this is included. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the nature of violation cited during today’s visit, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-86 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 1/30/2025 Number Present: 239 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 176 Time In: 09:04 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark and Amber Swepson, Assistance Director assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios and spaces. Children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There are concerns regarding a safe environment. Video footage was reviewed. The first incident occurred on January 14, 2025, at approximately 10:55 AM in M-5 (a stand-alone building near the Main Building). Three (3) maintenance crew members were testing the sprinkler system in the classroom. Two (2) maintenance personnel were working in the corner of the room near the bathroom, while one (1) maintenance personnel stood facing the rest of the classroom. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. The communication between the teacher and Ms. Swepson on Google Voice was also reviewed. In this communication, the teacher stated that the child started crying when the incident occurred and kept holding their "hand." The teacher placed ice on the child. The child was "good during lunch" but later appeared to be in pain during rest time. At that point, the teacher notified the child’s parent. In the report to the parent, the teacher used "wrist" instead of "hand," but the rest of the details remained the same. The teacher who was directly involved in the incident was not able to be interviewed. The teacher resigned and no longer worked for this program. The co-teacher in the classroom was interviewed. He/she had minimal knowledge of the incident or the child’s condition. He/she did not recall how the child reacted when the incident occurred or any communications from the teacher regarding this incident. The child received medical treatment after the incident. The child’s arm was re-aligned by the physician. The second incident occurred on January 15, 2025, at approximately 10:30 AM. Three (3) children, all two (2) years old, were observed with one (1) teacher in the housekeeping center. The children were setting up tables with pretend dishes. The teacher in the housekeeping center moved to the block center to address a conflict between children. While the teacher was in the block area, one (1) child picked up a green, circular plate and began hitting the other children in the housekeeping center. The child identified in the report was struck three (3) times, with the last hit involving the plate sliding across their forehead. After the third instance, the child went to the teacher in the block area to report the incident. Another teacher, who was in the changing area when the incident occurred, came out and removed the child who had hit the others from the housekeeping center. The pretend dish that was used during the incident was reviewed. The edge of the plate was smooth, and there were no cracks or tears. There is no evidence that this plate could cause any injuries if used appropriately. The child was taken to the doctor’s office by the parent due to the injury but did not receive stitches. The teachers supervised the classroom at the best of their abilities and addressed each situation. Based on the interview and video footages, the allegation regarding safe environment is unsubstantiated. However, lifting children by the arm is in appropriate due to high occurrence of injuries. Therefore, the following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was moved from one area to another in space M-5 on 1/14/25 at approximately 10:55 am and was injured in the process. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. One (1) of the maintenance personnel, J. Herman, present in space M-5 on 1/14/25 did not complete a criminal background check. The crew was working on sprinkler system in the classroom while children were present. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A maintenance personnel, J. Herman's criminal background letter was not available for review during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 904: Inappropriate discipline Child must be handles in nurturing and caring manner. Children must be picked up by torso and not by the arms. Picking up children by the arm can cause various injuries. All teachers shall be trained for the appropriate handling of children. 1041: completion of criminal background check 1757: qualification letter in file Three (3) maintenance personnels were in the room in M-5 on January 14, 2025, during the incident. One (1) of the personnels were outside contractors and two (2) of them were Eliada employees. One (1) of the two (2) Eliada employees have a valid qualification on file. However, the other person’s letter was not found during the visit. All employees that fit in the description must complete criminal background checks. The following are the rule references for employees who must complete criminal background checks. A copy of the qualifying letter after completion of criminal background checks must be maintained in the staff files. § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection. 10A NCAC 09 .0102 DEFINITIONS (9) "Child care provider" as defined by G.S. 110-90.2(a)(2) includes the following employees who have contact with the children in a child care program: (a) facility directors; (b) child care administrative staff; (c) teachers; (d) teachers' aides; (e) substitute providers; (f) uncompensated providers; (g) cooks; (h) maintenance personnel; and (i) drivers SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. Achieving Compliance: The facility received a violation regarding nurture and care today. A follow-up visit will be conducted in the near future to determine if staff are appropriately handling children per Child Care Rule G.S.110-91(10). You can include a corrective statement even if FU visit is required. If you choose to submit a corrective statement, make sure you follow procedures on receipt of compliance letter if this is included. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the nature of violation cited during today’s visit, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 1/30/2025 Number Present: 239 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 176 Time In: 09:04 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark and Amber Swepson, Assistance Director assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios and spaces. Children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There are concerns regarding a safe environment. Video footage was reviewed. The first incident occurred on January 14, 2025, at approximately 10:55 AM in M-5 (a stand-alone building near the Main Building). Three (3) maintenance crew members were testing the sprinkler system in the classroom. Two (2) maintenance personnel were working in the corner of the room near the bathroom, while one (1) maintenance personnel stood facing the rest of the classroom. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. The communication between the teacher and Ms. Swepson on Google Voice was also reviewed. In this communication, the teacher stated that the child started crying when the incident occurred and kept holding their "hand." The teacher placed ice on the child. The child was "good during lunch" but later appeared to be in pain during rest time. At that point, the teacher notified the child’s parent. In the report to the parent, the teacher used "wrist" instead of "hand," but the rest of the details remained the same. The teacher who was directly involved in the incident was not able to be interviewed. The teacher resigned and no longer worked for this program. The co-teacher in the classroom was interviewed. He/she had minimal knowledge of the incident or the child’s condition. He/she did not recall how the child reacted when the incident occurred or any communications from the teacher regarding this incident. The child received medical treatment after the incident. The child’s arm was re-aligned by the physician. The second incident occurred on January 15, 2025, at approximately 10:30 AM. Three (3) children, all two (2) years old, were observed with one (1) teacher in the housekeeping center. The children were setting up tables with pretend dishes. The teacher in the housekeeping center moved to the block center to address a conflict between children. While the teacher was in the block area, one (1) child picked up a green, circular plate and began hitting the other children in the housekeeping center. The child identified in the report was struck three (3) times, with the last hit involving the plate sliding across their forehead. After the third instance, the child went to the teacher in the block area to report the incident. Another teacher, who was in the changing area when the incident occurred, came out and removed the child who had hit the others from the housekeeping center. The pretend dish that was used during the incident was reviewed. The edge of the plate was smooth, and there were no cracks or tears. There is no evidence that this plate could cause any injuries if used appropriately. The child was taken to the doctor’s office by the parent due to the injury but did not receive stitches. The teachers supervised the classroom at the best of their abilities and addressed each situation. Based on the interview and video footages, the allegation regarding safe environment is unsubstantiated. However, lifting children by the arm is in appropriate due to high occurrence of injuries. Therefore, the following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was moved from one area to another in space M-5 on 1/14/25 at approximately 10:55 am and was injured in the process. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. One (1) of the maintenance personnel, J. Herman, present in space M-5 on 1/14/25 did not complete a criminal background check. The crew was working on sprinkler system in the classroom while children were present. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A maintenance personnel, J. Herman's criminal background letter was not available for review during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 904: Inappropriate discipline Child must be handles in nurturing and caring manner. Children must be picked up by torso and not by the arms. Picking up children by the arm can cause various injuries. All teachers shall be trained for the appropriate handling of children. 1041: completion of criminal background check 1757: qualification letter in file Three (3) maintenance personnels were in the room in M-5 on January 14, 2025, during the incident. One (1) of the personnels were outside contractors and two (2) of them were Eliada employees. One (1) of the two (2) Eliada employees have a valid qualification on file. However, the other person’s letter was not found during the visit. All employees that fit in the description must complete criminal background checks. The following are the rule references for employees who must complete criminal background checks. A copy of the qualifying letter after completion of criminal background checks must be maintained in the staff files. § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection. 10A NCAC 09 .0102 DEFINITIONS (9) "Child care provider" as defined by G.S. 110-90.2(a)(2) includes the following employees who have contact with the children in a child care program: (a) facility directors; (b) child care administrative staff; (c) teachers; (d) teachers' aides; (e) substitute providers; (f) uncompensated providers; (g) cooks; (h) maintenance personnel; and (i) drivers SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. Achieving Compliance: The facility received a violation regarding nurture and care today. A follow-up visit will be conducted in the near future to determine if staff are appropriately handling children per Child Care Rule G.S.110-91(10). You can include a corrective statement even if FU visit is required. If you choose to submit a corrective statement, make sure you follow procedures on receipt of compliance letter if this is included. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the nature of violation cited during today’s visit, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 1/30/2025 Number Present: 239 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 176 Time In: 09:04 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark and Amber Swepson, Assistance Director assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios and spaces. Children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There are concerns regarding a safe environment. Video footage was reviewed. The first incident occurred on January 14, 2025, at approximately 10:55 AM in M-5 (a stand-alone building near the Main Building). Three (3) maintenance crew members were testing the sprinkler system in the classroom. Two (2) maintenance personnel were working in the corner of the room near the bathroom, while one (1) maintenance personnel stood facing the rest of the classroom. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. The communication between the teacher and Ms. Swepson on Google Voice was also reviewed. In this communication, the teacher stated that the child started crying when the incident occurred and kept holding their "hand." The teacher placed ice on the child. The child was "good during lunch" but later appeared to be in pain during rest time. At that point, the teacher notified the child’s parent. In the report to the parent, the teacher used "wrist" instead of "hand," but the rest of the details remained the same. The teacher who was directly involved in the incident was not able to be interviewed. The teacher resigned and no longer worked for this program. The co-teacher in the classroom was interviewed. He/she had minimal knowledge of the incident or the child’s condition. He/she did not recall how the child reacted when the incident occurred or any communications from the teacher regarding this incident. The child received medical treatment after the incident. The child’s arm was re-aligned by the physician. The second incident occurred on January 15, 2025, at approximately 10:30 AM. Three (3) children, all two (2) years old, were observed with one (1) teacher in the housekeeping center. The children were setting up tables with pretend dishes. The teacher in the housekeeping center moved to the block center to address a conflict between children. While the teacher was in the block area, one (1) child picked up a green, circular plate and began hitting the other children in the housekeeping center. The child identified in the report was struck three (3) times, with the last hit involving the plate sliding across their forehead. After the third instance, the child went to the teacher in the block area to report the incident. Another teacher, who was in the changing area when the incident occurred, came out and removed the child who had hit the others from the housekeeping center. The pretend dish that was used during the incident was reviewed. The edge of the plate was smooth, and there were no cracks or tears. There is no evidence that this plate could cause any injuries if used appropriately. The child was taken to the doctor’s office by the parent due to the injury but did not receive stitches. The teachers supervised the classroom at the best of their abilities and addressed each situation. Based on the interview and video footages, the allegation regarding safe environment is unsubstantiated. However, lifting children by the arm is in appropriate due to high occurrence of injuries. Therefore, the following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was moved from one area to another in space M-5 on 1/14/25 at approximately 10:55 am and was injured in the process. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. One (1) of the maintenance personnel, J. Herman, present in space M-5 on 1/14/25 did not complete a criminal background check. The crew was working on sprinkler system in the classroom while children were present. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A maintenance personnel, J. Herman's criminal background letter was not available for review during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 904: Inappropriate discipline Child must be handles in nurturing and caring manner. Children must be picked up by torso and not by the arms. Picking up children by the arm can cause various injuries. All teachers shall be trained for the appropriate handling of children. 1041: completion of criminal background check 1757: qualification letter in file Three (3) maintenance personnels were in the room in M-5 on January 14, 2025, during the incident. One (1) of the personnels were outside contractors and two (2) of them were Eliada employees. One (1) of the two (2) Eliada employees have a valid qualification on file. However, the other person’s letter was not found during the visit. All employees that fit in the description must complete criminal background checks. The following are the rule references for employees who must complete criminal background checks. A copy of the qualifying letter after completion of criminal background checks must be maintained in the staff files. § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection. 10A NCAC 09 .0102 DEFINITIONS (9) "Child care provider" as defined by G.S. 110-90.2(a)(2) includes the following employees who have contact with the children in a child care program: (a) facility directors; (b) child care administrative staff; (c) teachers; (d) teachers' aides; (e) substitute providers; (f) uncompensated providers; (g) cooks; (h) maintenance personnel; and (i) drivers SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. Achieving Compliance: The facility received a violation regarding nurture and care today. A follow-up visit will be conducted in the near future to determine if staff are appropriately handling children per Child Care Rule G.S.110-91(10). You can include a corrective statement even if FU visit is required. If you choose to submit a corrective statement, make sure you follow procedures on receipt of compliance letter if this is included. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the nature of violation cited during today’s visit, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 1/30/2025 Number Present: 239 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 176 Time In: 09:04 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark and Amber Swepson, Assistance Director assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios and spaces. Children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There are concerns regarding a safe environment. Video footage was reviewed. The first incident occurred on January 14, 2025, at approximately 10:55 AM in M-5 (a stand-alone building near the Main Building). Three (3) maintenance crew members were testing the sprinkler system in the classroom. Two (2) maintenance personnel were working in the corner of the room near the bathroom, while one (1) maintenance personnel stood facing the rest of the classroom. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. The communication between the teacher and Ms. Swepson on Google Voice was also reviewed. In this communication, the teacher stated that the child started crying when the incident occurred and kept holding their "hand." The teacher placed ice on the child. The child was "good during lunch" but later appeared to be in pain during rest time. At that point, the teacher notified the child’s parent. In the report to the parent, the teacher used "wrist" instead of "hand," but the rest of the details remained the same. The teacher who was directly involved in the incident was not able to be interviewed. The teacher resigned and no longer worked for this program. The co-teacher in the classroom was interviewed. He/she had minimal knowledge of the incident or the child’s condition. He/she did not recall how the child reacted when the incident occurred or any communications from the teacher regarding this incident. The child received medical treatment after the incident. The child’s arm was re-aligned by the physician. The second incident occurred on January 15, 2025, at approximately 10:30 AM. Three (3) children, all two (2) years old, were observed with one (1) teacher in the housekeeping center. The children were setting up tables with pretend dishes. The teacher in the housekeeping center moved to the block center to address a conflict between children. While the teacher was in the block area, one (1) child picked up a green, circular plate and began hitting the other children in the housekeeping center. The child identified in the report was struck three (3) times, with the last hit involving the plate sliding across their forehead. After the third instance, the child went to the teacher in the block area to report the incident. Another teacher, who was in the changing area when the incident occurred, came out and removed the child who had hit the others from the housekeeping center. The pretend dish that was used during the incident was reviewed. The edge of the plate was smooth, and there were no cracks or tears. There is no evidence that this plate could cause any injuries if used appropriately. The child was taken to the doctor’s office by the parent due to the injury but did not receive stitches. The teachers supervised the classroom at the best of their abilities and addressed each situation. Based on the interview and video footages, the allegation regarding safe environment is unsubstantiated. However, lifting children by the arm is in appropriate due to high occurrence of injuries. Therefore, the following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was moved from one area to another in space M-5 on 1/14/25 at approximately 10:55 am and was injured in the process. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. One (1) of the maintenance personnel, J. Herman, present in space M-5 on 1/14/25 did not complete a criminal background check. The crew was working on sprinkler system in the classroom while children were present. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A maintenance personnel, J. Herman's criminal background letter was not available for review during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 904: Inappropriate discipline Child must be handles in nurturing and caring manner. Children must be picked up by torso and not by the arms. Picking up children by the arm can cause various injuries. All teachers shall be trained for the appropriate handling of children. 1041: completion of criminal background check 1757: qualification letter in file Three (3) maintenance personnels were in the room in M-5 on January 14, 2025, during the incident. One (1) of the personnels were outside contractors and two (2) of them were Eliada employees. One (1) of the two (2) Eliada employees have a valid qualification on file. However, the other person’s letter was not found during the visit. All employees that fit in the description must complete criminal background checks. The following are the rule references for employees who must complete criminal background checks. A copy of the qualifying letter after completion of criminal background checks must be maintained in the staff files. § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection. 10A NCAC 09 .0102 DEFINITIONS (9) "Child care provider" as defined by G.S. 110-90.2(a)(2) includes the following employees who have contact with the children in a child care program: (a) facility directors; (b) child care administrative staff; (c) teachers; (d) teachers' aides; (e) substitute providers; (f) uncompensated providers; (g) cooks; (h) maintenance personnel; and (i) drivers SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. Achieving Compliance: The facility received a violation regarding nurture and care today. A follow-up visit will be conducted in the near future to determine if staff are appropriately handling children per Child Care Rule G.S.110-91(10). You can include a corrective statement even if FU visit is required. If you choose to submit a corrective statement, make sure you follow procedures on receipt of compliance letter if this is included. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the nature of violation cited during today’s visit, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 1/30/2025 Number Present: 239 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 176 Time In: 09:04 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark and Amber Swepson, Assistance Director assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios and spaces. Children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There are concerns regarding a safe environment. Video footage was reviewed. The first incident occurred on January 14, 2025, at approximately 10:55 AM in M-5 (a stand-alone building near the Main Building). Three (3) maintenance crew members were testing the sprinkler system in the classroom. Two (2) maintenance personnel were working in the corner of the room near the bathroom, while one (1) maintenance personnel stood facing the rest of the classroom. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. The communication between the teacher and Ms. Swepson on Google Voice was also reviewed. In this communication, the teacher stated that the child started crying when the incident occurred and kept holding their "hand." The teacher placed ice on the child. The child was "good during lunch" but later appeared to be in pain during rest time. At that point, the teacher notified the child’s parent. In the report to the parent, the teacher used "wrist" instead of "hand," but the rest of the details remained the same. The teacher who was directly involved in the incident was not able to be interviewed. The teacher resigned and no longer worked for this program. The co-teacher in the classroom was interviewed. He/she had minimal knowledge of the incident or the child’s condition. He/she did not recall how the child reacted when the incident occurred or any communications from the teacher regarding this incident. The child received medical treatment after the incident. The child’s arm was re-aligned by the physician. The second incident occurred on January 15, 2025, at approximately 10:30 AM. Three (3) children, all two (2) years old, were observed with one (1) teacher in the housekeeping center. The children were setting up tables with pretend dishes. The teacher in the housekeeping center moved to the block center to address a conflict between children. While the teacher was in the block area, one (1) child picked up a green, circular plate and began hitting the other children in the housekeeping center. The child identified in the report was struck three (3) times, with the last hit involving the plate sliding across their forehead. After the third instance, the child went to the teacher in the block area to report the incident. Another teacher, who was in the changing area when the incident occurred, came out and removed the child who had hit the others from the housekeeping center. The pretend dish that was used during the incident was reviewed. The edge of the plate was smooth, and there were no cracks or tears. There is no evidence that this plate could cause any injuries if used appropriately. The child was taken to the doctor’s office by the parent due to the injury but did not receive stitches. The teachers supervised the classroom at the best of their abilities and addressed each situation. Based on the interview and video footages, the allegation regarding safe environment is unsubstantiated. However, lifting children by the arm is in appropriate due to high occurrence of injuries. Therefore, the following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was moved from one area to another in space M-5 on 1/14/25 at approximately 10:55 am and was injured in the process. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. One (1) of the maintenance personnel, J. Herman, present in space M-5 on 1/14/25 did not complete a criminal background check. The crew was working on sprinkler system in the classroom while children were present. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A maintenance personnel, J. Herman's criminal background letter was not available for review during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 904: Inappropriate discipline Child must be handles in nurturing and caring manner. Children must be picked up by torso and not by the arms. Picking up children by the arm can cause various injuries. All teachers shall be trained for the appropriate handling of children. 1041: completion of criminal background check 1757: qualification letter in file Three (3) maintenance personnels were in the room in M-5 on January 14, 2025, during the incident. One (1) of the personnels were outside contractors and two (2) of them were Eliada employees. One (1) of the two (2) Eliada employees have a valid qualification on file. However, the other person’s letter was not found during the visit. All employees that fit in the description must complete criminal background checks. The following are the rule references for employees who must complete criminal background checks. A copy of the qualifying letter after completion of criminal background checks must be maintained in the staff files. § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection. 10A NCAC 09 .0102 DEFINITIONS (9) "Child care provider" as defined by G.S. 110-90.2(a)(2) includes the following employees who have contact with the children in a child care program: (a) facility directors; (b) child care administrative staff; (c) teachers; (d) teachers' aides; (e) substitute providers; (f) uncompensated providers; (g) cooks; (h) maintenance personnel; and (i) drivers SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. Achieving Compliance: The facility received a violation regarding nurture and care today. A follow-up visit will be conducted in the near future to determine if staff are appropriately handling children per Child Care Rule G.S.110-91(10). You can include a corrective statement even if FU visit is required. If you choose to submit a corrective statement, make sure you follow procedures on receipt of compliance letter if this is included. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the nature of violation cited during today’s visit, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ELIADA CHILD DEVELOPMENT Facility ID: 1155068 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0125-265L Visit Date: 1/30/2025 Number Present: 239 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 176 Time In: 09:04 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Sarah Rivenbark, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Rivenbark and Amber Swepson, Assistance Director assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/12/23. The Special Services/Restrictions includes daytime care, meets enhanced ratios and spaces. Children under 2 ½ years old in rooms with direct exits only. The program is certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 1/23/25 and sent to me on 1/24/25. There are concerns regarding a safe environment. Video footage was reviewed. The first incident occurred on January 14, 2025, at approximately 10:55 AM in M-5 (a stand-alone building near the Main Building). Three (3) maintenance crew members were testing the sprinkler system in the classroom. Two (2) maintenance personnel were working in the corner of the room near the bathroom, while one (1) maintenance personnel stood facing the rest of the classroom. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. The communication between the teacher and Ms. Swepson on Google Voice was also reviewed. In this communication, the teacher stated that the child started crying when the incident occurred and kept holding their "hand." The teacher placed ice on the child. The child was "good during lunch" but later appeared to be in pain during rest time. At that point, the teacher notified the child’s parent. In the report to the parent, the teacher used "wrist" instead of "hand," but the rest of the details remained the same. The teacher who was directly involved in the incident was not able to be interviewed. The teacher resigned and no longer worked for this program. The co-teacher in the classroom was interviewed. He/she had minimal knowledge of the incident or the child’s condition. He/she did not recall how the child reacted when the incident occurred or any communications from the teacher regarding this incident. The child received medical treatment after the incident. The child’s arm was re-aligned by the physician. The second incident occurred on January 15, 2025, at approximately 10:30 AM. Three (3) children, all two (2) years old, were observed with one (1) teacher in the housekeeping center. The children were setting up tables with pretend dishes. The teacher in the housekeeping center moved to the block center to address a conflict between children. While the teacher was in the block area, one (1) child picked up a green, circular plate and began hitting the other children in the housekeeping center. The child identified in the report was struck three (3) times, with the last hit involving the plate sliding across their forehead. After the third instance, the child went to the teacher in the block area to report the incident. Another teacher, who was in the changing area when the incident occurred, came out and removed the child who had hit the others from the housekeeping center. The pretend dish that was used during the incident was reviewed. The edge of the plate was smooth, and there were no cracks or tears. There is no evidence that this plate could cause any injuries if used appropriately. The child was taken to the doctor’s office by the parent due to the injury but did not receive stitches. The teachers supervised the classroom at the best of their abilities and addressed each situation. Based on the interview and video footages, the allegation regarding safe environment is unsubstantiated. However, lifting children by the arm is in appropriate due to high occurrence of injuries. Therefore, the following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was moved from one area to another in space M-5 on 1/14/25 at approximately 10:55 am and was injured in the process. A child moved toward the area where the maintenance personnel were working. A teacher held the child’s hands and slowly pulled the child away from the corner. As the teacher guided the child to the block area, located next to the corner near the bathroom, the child fell or dropped to the floor while the teacher was holding the child’s hands. The teacher then pulled the child’s hands up to lift the child and placed the child in the block area. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. One (1) of the maintenance personnel, J. Herman, present in space M-5 on 1/14/25 did not complete a criminal background check. The crew was working on sprinkler system in the classroom while children were present. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A maintenance personnel, J. Herman's criminal background letter was not available for review during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 904: Inappropriate discipline Child must be handles in nurturing and caring manner. Children must be picked up by torso and not by the arms. Picking up children by the arm can cause various injuries. All teachers shall be trained for the appropriate handling of children. 1041: completion of criminal background check 1757: qualification letter in file Three (3) maintenance personnels were in the room in M-5 on January 14, 2025, during the incident. One (1) of the personnels were outside contractors and two (2) of them were Eliada employees. One (1) of the two (2) Eliada employees have a valid qualification on file. However, the other person’s letter was not found during the visit. All employees that fit in the description must complete criminal background checks. The following are the rule references for employees who must complete criminal background checks. A copy of the qualifying letter after completion of criminal background checks must be maintained in the staff files. § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection. 10A NCAC 09 .0102 DEFINITIONS (9) "Child care provider" as defined by G.S. 110-90.2(a)(2) includes the following employees who have contact with the children in a child care program: (a) facility directors; (b) child care administrative staff; (c) teachers; (d) teachers' aides; (e) substitute providers; (f) uncompensated providers; (g) cooks; (h) maintenance personnel; and (i) drivers SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. Achieving Compliance: The facility received a violation regarding nurture and care today. A follow-up visit will be conducted in the near future to determine if staff are appropriately handling children per Child Care Rule G.S.110-91(10). You can include a corrective statement even if FU visit is required. If you choose to submit a corrective statement, make sure you follow procedures on receipt of compliance letter if this is included. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the nature of violation cited during today’s visit, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times