Lifespan Early Learning Center

G.S. 110-91 · Violation

Name of Operation: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: 1125-054L Visit Date: 11/18/2025 Number Present: 46 Completed Date: 11/18/2025 Age: From 0 To 5 Total Minutes: 77 Time In: 11:18 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit has been to investigate allegations of non-compliance with child care requirements. This facility operates with a five-star license which was issued on November 7, 2025. The Raleigh Office received two reports of non-compliance on November 7, 2025. Upon arrival to the facility, I was greeted by a staff member, who notified the administrator of my arrival. Ms. Carima Neal, Program Director assisted me during today’s visit. There are forty-six children present on this date ranging in age from infants to five-years old. ALLEGATION: Age-appropriate care and activities OBSERVATION: I discussed the allegations with the program director. She was aware of the reported concern and administrative staff had sent a statement in to the Raleigh office. We conducted monitoring the infant classroom. We reviewed the cameras to assess the activities of dates identified in the complaint. CONCLUSION: Based on the information attained from the administrator, and the review of the cameras for October 28, 2025, this allegation is Substantiated. The following violations were observed, cited, and technical assistance was provided. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Three (3) children under twenty-four months were observed participating in a screentime activity for approximately thirty-five (35) minutes. .0510(f) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member was observed preparing formula for feeding a child without washing her hand prior to the preparation of the bottle. 15A NCAC 18A .2803(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Children observed in high chairs, a playpen, and cribs for approximately 35-45 minutes, while the staff were observed on their phones, or on a tablet. Based on video, it wasn't clear that age appropriate materials/activities were available to them. G.S. 110-91(10) The above violations must be corrected immediately, and corrective action letter must be submitted to my office by December 2, 2025. The letter should state how and when the violations were corrected. Please address each of the violation’s item numbers cited. The letter should be submitted on facility letterhead and should contain your electronic signature. You may submit the letter to my email at anita.c.graham@dhhs.nc.gov. If the letter has not been received by my office, by or before December 2, 2025, a return visit may be required to ensure compliance with child care requirements. You were provided with an opportunity to ask questions regarding childcare requirements. During the visit we discussed each of the items of noncompliance and. TECHNICAL ASSISTANCE: -Children shall always be provided with age appropriate activities and care and not placed in feeding chairs, swings, seats, cribs or any other equipment or furnishings for extended periods of time. -Children must be allowed to move freely throughout the classroom in a safe and healthy manner. -Screen time shall not be used for children under 24 months of age. -Staff members must wash their hands prior to preparing food service to include preparing bottles for feeding infants. This classroom has new temporary caregivers today. The administrators shall ensure that all new staff, substitutes, and floaters are well aware of child care requirements when caring for infant and in any classroom where care is provided. Administrators shall frequently monitor the infant classroom for all childcare requirements while you transition your more permanent staff in the infant care space. Thank you for your assistance during today's visit. If you need further assistance, you may contact me at 336-894-0609. You may also contact my supervisor, Kaye Adkins at kaye.adkins@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 .1003 · Violation

Name of Operation: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 38 Completed Date: 10/30/2025 Age: From 0 To 4 Total Minutes: 218 Time In: 10:54 AM Time Out: 02:32 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the facility’s annual compliance monitoring for child care requirements. The last annual compliance visit was conducted on November 14, 2024. The facility currently operates under a Provisional License issued on May 5, 2025, which is set to expire on November 7, 2025. A review of the North Carolina Secretary of State webpage indicates the Corporation status as Current – Active. Upon arrival, I was greeted by Carima Neal, Program Director, who assisted me during today’s visit. Together, we conducted a walkthrough of the indoor and outdoor learning spaces. Children were observed actively engaged in daily routines, indoor free play, teacher-directed activities, lunch, and rest time. • The last Fire Inspection was conducted on April 30, 2025, and was approved for day time care only. • The last Sanitation Inspection was conducted on July 1, 2025, a ‘Superior’ classification was achieved. During today’s visit, a comprehensive assessment of child care requirements was completed. Areas monitored included: Current permits and required documents were posted in prominent locations and restrictions are maintained; supervision, staff-to-child ratios, medications, transportation and general health and safety practices. During today’s visit, the following violation was observed, cited, and technical assistance was provided Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. **The emergency binder observed on the vehicle used to transport children, did not contain pictures to accompanied the emergency information. 10A NCAC 09 .1003(d) The above violation must be corrected immediately and a compliance letter sent to my office stating how and when the item of non-compliance was addressed and corrected. The letter should reach my office by or before 5:00 pm, November 13, 2025. Please include the name and facility ID number on your program's letterhead. Please close the letter with your electronic signature. If the letter has not been received by my office by 5:00pm, on November 13, 2025, a return visit may be necessary to ensure compliance with childcare requirements. You may submit the letter to anita.c.graham@dhhs.nc.gov. Please also submit the letter to my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov. TECHINICAL ASSISTANCE: You were provided with the opportunity to ask questions regarding child care requirements. We discussed the particular area of non-compliance. Although emergency information was available on the vehicle for the children transported, the required missing item was pictures of the children. This is a Transportation requirement of 10A NCAC 09 .1723. ADDITIONAL INFORMATION: You have notified me that one half of the building has a heating system which was not working properly yesterday and today. Parents were notified and given the option to allow the children to attend. The repair service has been notified and have given an estimated repair date as next Monday/Tuesday. Classrooms have been combined and the children are being served in the other side of the building were the heat is working properly. Staff/child ratios were observed maintained today, and materials have been deemed appropriate for the ages served. If you need any further assistance, please contact me at 336-894-0609. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for your assistance during today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report 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 .1723 · Violation

Name of Operation: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 10/30/2025 Number Present: 38 Completed Date: 10/30/2025 Age: From 0 To 4 Total Minutes: 218 Time In: 10:54 AM Time Out: 02:32 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the facility’s annual compliance monitoring for child care requirements. The last annual compliance visit was conducted on November 14, 2024. The facility currently operates under a Provisional License issued on May 5, 2025, which is set to expire on November 7, 2025. A review of the North Carolina Secretary of State webpage indicates the Corporation status as Current – Active. Upon arrival, I was greeted by Carima Neal, Program Director, who assisted me during today’s visit. Together, we conducted a walkthrough of the indoor and outdoor learning spaces. Children were observed actively engaged in daily routines, indoor free play, teacher-directed activities, lunch, and rest time. • The last Fire Inspection was conducted on April 30, 2025, and was approved for day time care only. • The last Sanitation Inspection was conducted on July 1, 2025, a ‘Superior’ classification was achieved. During today’s visit, a comprehensive assessment of child care requirements was completed. Areas monitored included: Current permits and required documents were posted in prominent locations and restrictions are maintained; supervision, staff-to-child ratios, medications, transportation and general health and safety practices. During today’s visit, the following violation was observed, cited, and technical assistance was provided Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. **The emergency binder observed on the vehicle used to transport children, did not contain pictures to accompanied the emergency information. 10A NCAC 09 .1003(d) The above violation must be corrected immediately and a compliance letter sent to my office stating how and when the item of non-compliance was addressed and corrected. The letter should reach my office by or before 5:00 pm, November 13, 2025. Please include the name and facility ID number on your program's letterhead. Please close the letter with your electronic signature. If the letter has not been received by my office by 5:00pm, on November 13, 2025, a return visit may be necessary to ensure compliance with childcare requirements. You may submit the letter to anita.c.graham@dhhs.nc.gov. Please also submit the letter to my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov. TECHINICAL ASSISTANCE: You were provided with the opportunity to ask questions regarding child care requirements. We discussed the particular area of non-compliance. Although emergency information was available on the vehicle for the children transported, the required missing item was pictures of the children. This is a Transportation requirement of 10A NCAC 09 .1723. ADDITIONAL INFORMATION: You have notified me that one half of the building has a heating system which was not working properly yesterday and today. Parents were notified and given the option to allow the children to attend. The repair service has been notified and have given an estimated repair date as next Monday/Tuesday. Classrooms have been combined and the children are being served in the other side of the building were the heat is working properly. Staff/child ratios were observed maintained today, and materials have been deemed appropriate for the ages served. If you need any further assistance, please contact me at 336-894-0609. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for your assistance during today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report 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: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 9/12/2025 Number Present: 41 Completed Date: 9/12/2025 Age: From 0 To 4 Total Minutes: 172 Time In: 11:00 AM Time Out: 01:52 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit has been to conduct an Admin Action Follow-up monitoring visit. This facility operates with a provisional license which was issued on May 7, 2025. Upon arrival to the facility, I was greeted by Carima Neal, Program Administrator. I stated the purpose of my visit. Ms. Neal assisted me during the visit. We conducted a walk-through of the facility. The children were observed having lunch and resting. The last Fire Inspection was conducted on April 30, 2025 and approved for day time care only. The last Sanitation Inspection was corrected on July 1, 2025. The facility achieved a 'Superior' classification. Limited monitoring was conducted on this date. The permit and the administrative action are present and posted in the lobby area. I monitored general licensing requirements, program records, staff records, staff/child ratios and supervision, medication requirements, hazardous products and overall general safety. The following violation was observed cited and technical assistance was provided. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical strip in the infant room was observed with several sockets uncovered. 10A NCAC 09 .0604(c) The above item of noncompliance was corrected during the visit. Please prepare and submit a formal letter detailing how you will address this area to maintain compliance in the future. The letter must be submitted on your facility’s official letterhead and include an electronic signature, list and respond to the item of noncompliance, and be submitted to my office no later than September 26, 2025. You may submit the letter by email to anita.c.graham@dhhs.nc.gov. Failure to submit the corrective action letter by the stated deadline may result in a return visit to verify compliance, which may lead to additional regulatory requirements. During the visit, you were provided with the opportunity to ask questions related to child care regulations, and we discussed noncompliance in detail to ensure clarity and understanding moving forward. TECHNICAL ASSISTANCE: Please remember that electrical strips must have safety inserts when not in use. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@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: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 1/21/2025 Number Present: 54 Completed Date: 1/21/2025 Age: From 0 To 10 Total Minutes: 230 Time In: 11:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to conduct the Admin Action Follow-up monitoring. The Administrative Action notification was posted in a prominent area, allowing for parents and others, who visit the facility to view it. Upon arrival to the facility, I was greeted by a staff member. I signed in at the front office. I was escorted to the administrator’s office. This facility has a new interim administrator, Ms. Mary Parr. I stated the purpose of my visit and was assisted in a walkthrough of the facility. Attendance was taken and observations made. The children were observed, resting, participating in indoor free play and preparing for lunch. Staff members were observed positively engaging with the children and adequately supervising the children. Partial assessment of childcare requirements was monitored during today’s visit, including supervision, staff/child ratio, program requirements, a sampling of children’s records and a sampling of staff records, summary of laws and permit were posted, and restrictions observed. The following violations were observed, cited and technical assistance for provided. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. **In three classrooms outlets some outlets were observed uncovered. This was corrected during the visit.** 10A NCAC 09 .0604(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. **Documentation of medical records for three children's files was not available for Division Representative Review. The Administrator stated that these families were notified that last week that they may not return until the files have been obtained.** GS110-91(1) The above violations must be corrected immediately. A correction letter shall be sent to my office stating how and when compliance was achieved. The letter should include your facility name, identification number, and your electronic signature. The letter should be received by my office by February 4, 2025. You may submit the letter to my email anita.c.graham@dhhs.nc.gov. If the letter is not received by my office by February 4, 2025, a return visit may be necessary to ensure compliance with North Carolina childcare requirements. Please be advised that additional violations may be cited. You were provided an opportunity to ask questions regarding childcare requirements. We discuss each of the violations cited this date. You have stated that you have completed the requirements of the Administrative Action to review and update your Child Care Supervision Policies and Procedures. I have collected this document during today’s visit. I will review it and follow-up with you by next week. TECHNICAL ASSISTANCE: Please be reminded that all children must have a medical report on file before enrollment and not later than thirty (30) days after enrollment. Best practice is to require all medical reports and immunization report be completed prior to the first day of attendance. Thank you for your assistance during today's visit. If I can be of additional assistance, please contact me at (336) 894-0609 or via e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@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: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 1/21/2025 Number Present: 54 Completed Date: 1/21/2025 Age: From 0 To 10 Total Minutes: 230 Time In: 11:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to conduct the Admin Action Follow-up monitoring. The Administrative Action notification was posted in a prominent area, allowing for parents and others, who visit the facility to view it. Upon arrival to the facility, I was greeted by a staff member. I signed in at the front office. I was escorted to the administrator’s office. This facility has a new interim administrator, Ms. Mary Parr. I stated the purpose of my visit and was assisted in a walkthrough of the facility. Attendance was taken and observations made. The children were observed, resting, participating in indoor free play and preparing for lunch. Staff members were observed positively engaging with the children and adequately supervising the children. Partial assessment of childcare requirements was monitored during today’s visit, including supervision, staff/child ratio, program requirements, a sampling of children’s records and a sampling of staff records, summary of laws and permit were posted, and restrictions observed. The following violations were observed, cited and technical assistance for provided. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. **In three classrooms outlets some outlets were observed uncovered. This was corrected during the visit.** 10A NCAC 09 .0604(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. **Documentation of medical records for three children's files was not available for Division Representative Review. The Administrator stated that these families were notified that last week that they may not return until the files have been obtained.** GS110-91(1) The above violations must be corrected immediately. A correction letter shall be sent to my office stating how and when compliance was achieved. The letter should include your facility name, identification number, and your electronic signature. The letter should be received by my office by February 4, 2025. You may submit the letter to my email anita.c.graham@dhhs.nc.gov. If the letter is not received by my office by February 4, 2025, a return visit may be necessary to ensure compliance with North Carolina childcare requirements. Please be advised that additional violations may be cited. You were provided an opportunity to ask questions regarding childcare requirements. We discuss each of the violations cited this date. You have stated that you have completed the requirements of the Administrative Action to review and update your Child Care Supervision Policies and Procedures. I have collected this document during today’s visit. I will review it and follow-up with you by next week. TECHNICAL ASSISTANCE: Please be reminded that all children must have a medical report on file before enrollment and not later than thirty (30) days after enrollment. Best practice is to require all medical reports and immunization report be completed prior to the first day of attendance. Thank you for your assistance during today's visit. If I can be of additional assistance, please contact me at (336) 894-0609 or via e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@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: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: 1224-074L Visit Date: 12/10/2024 Number Present: 64 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 12:35 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit has been to investigate a report alleging violations of child care requirements. Kristie Barton, program director was present during the visit and assisted us during the visit. Kaye Adkins, Child Care Licensing Supervisor, accompanied me on today's visit. According to the reporter, on December 2, 2024 a staff member lost their patience and pushed a three-year-old child. A walkthrough of the facility was conducted. We discussed the allegations with Ms. Barton. Limited monitoring of child care requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate/approved space, licensed posted, and permit restrictions. ALLEGATION #1 There is a concern regarding DISCIPLINE OBSERVATION: Ms. Adkins, and Ms. Barton and I, reviewed approximately 45 minutes of classroom video footage from December 2, 2024. We observed 30 minutes of footage prior to the incident and 15 minutes after the incident. We interviewed a staff member and the administrator. In the video footage we observed children playing freely with a variety of toys and materials. There were two staff members and a therapist in the classroom at the time of the incident. The teacher named in the allegation was observed moving throughout the classroom, putting away toys, and cleaning various areas of the room. The co-teacher was observed seated near an interest center filling out paperwork, watching the children, and typing on her phone. The administrator explained that staff use an app on their phone to document details of the day for parents and record keeping. The therapist was observed working one on one with a child. We did not observe any instances of children being physically disciplined on the video footage. We did observe three children go to the table and sit down for approximately 30 (thirty) minutes with no toys or materials. Because the video does not include sound, we were unable to determine why they were at the table. We interviewed the co-teacher that was present in the room at the time of the incident. She stated that she did not observe the teacher physically discipline any children. When asked why a small number of the children were seated at the table with no toys or materials while other children continued to play freely throughout the room, she stated she did not know, unless the other teacher had told them to go sit there. However, she was unable to say for certain why they were there or if they were sent to the table as a form of discipline. CONCLUSION #1 Based on video observation and staff interviews the allegation regarding discipline could not be confirmed and is UNSUBSTANTIATED. ALLEGATION #2 Nurture and Care OBSERVATION #2 In addition to reviewing the video footage referenced above, we reviewed written statements from the staff and we spoke with staff members regarding this incident. The staff member we interviewed stated that the teacher named in the allegation seemed a little "off " that day and in the days leading up to the incident. She described the teacher as “irritable” or “short” with the children and said that parents made comments about the teacher’s behavior and tone with the children. She stated that she felt the teacher treated the victim child differently from other children in the classroom throughout the time she worked in the class. The victim child is non-verbal. The staff member gave examples of the teacher addressing the child in a harsh tone or jerking her hand away from the child if he approached her to touch her. She stated this child did touch and “poke” the teacher and the teacher would pull away from the child. The staff member stated that she reported her concerns and parent concerns to the Administrator in the days leading up to the incident. She also stated that the teacher had asked to leave early the day of the incident to pick up some paperwork. When we spoke with the program director, she confirmed that the co-teacher had reported her concerns and that the teacher had requested to leave early to pick up a medical report for her child. The administrator stated that she had explained to the teacher that she wasn’t sure she’d be able to let her leave that day, but if not; perhaps she could leave early the following day. The administrator stated that in days prior to this incident, this teacher had expressed that she was dealing with stressors in her personal life. While reviewing the video we noticed that the staff member’s body language, posture and movements seemed aggressive or irritable as she moved about the classroom. At one point in the video, she can be seen quickly picking up toys and placing them on top of a cabinet. In another section of the video the teacher was observed taking he victim child by the hand and quickly walking him to another area of the classroom. The teacher let go of the child’s hand and he fell on to the floor. The teacher was also observed on the video checking her smart watch multiple times. In one section of the video, we observed the staff member using her hand in a swift back and forth motion to send the victim child away from her when he approached her. At one point, the teacher sits on one of the classroom tables. The victim child is observed playing in the music area of the classroom, directly beside where the co-teacher is seated. The teacher is observed on video saying something to the co-teacher and the co-teacher looks back at the child. The child continues to play in the music area for a short period and then moves out of the area. The co-teacher stated that the teacher said something about the child playing with the loud musical instruments, but the co-teacher said it didn’t bother her (the co-teacher) so she didn’t tell the child to stop. Later in the video the victim child is observed walking up to the teacher, reaching for and appearing to touch her hands. The teacher immediately raises both her hands out in front of her to the child’s upper body and pushes the child away from her. Immediately the child falls to the floor and begins crying. The teacher dropped her head into her hands, then stood up and walked to the classroom door. Neither the teacher, co-teacher or therapist approached the child to checked on or comfort the child. The co-teacher stated she did not see the teacher push the child because of where she was seated and that she did not realize what had happened. Later in the video, the administrator is observed entering the room and the teacher is observed leaving the classroom. The administrator stated that the teacher called her as soon as she pushed the child and explained what happened. The teacher was immediately sent home; and was later terminated from the facility. The administrator stated that in the days following this incident she moved the co-teacher to another classroom and has placed two other teachers in this room. CONCLUSION #2 Based on a review of video from the classroom, written staff statements and staff interviews the allegation is SUBSTANTIATED. The following violation was observed while viewing the video. I cited the violation and technical assistance was provided. 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. ***On December 2, 2024 a staff member was observed on video pushing a non verbal, three year old child to the floor when the child approached her and reached out to touch her hands. The child fell to ground and began crying. No staff approached the child to comfort them or ensure that the child was not injured.*** G.S. 110-91(10) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before December 23, 2024. You may email the letter to me at anita.c.grahm@dhhs.nc.gov. You may also mail the letter to Anita Graham, PO Box 665, Pleasant Garden, NC 27313. If the compliance letter is not received by my office by December 23, 2024, a return visit may be necessary to confirm compliance with North Carolina childcare requirements. The staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Please be aware that any information received during this investigation and any violations cited may be included in any future administrative actions issued to the facility. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. TECHNICAL ASSISTANCE: Please be reminded that staff shall always interact with children in a positive manner. Using positive and helpful interactions and responses and be proactive with activities in the classroom. Please visit the attached website for more information on staff interaction with children. https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_February_1_2021.pdf If you have any questions or concerns you may contact me, at 336-894-0609, or by email at anita.c.graham@dhhs.nc.gov or my Supervisor, Kaye Adkins kaye.adkins@dhhs.nc.gov. Thank you for your assistance during today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report 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: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 67 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 316 Time In: 09:45 AM Time Out: 03:01 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today, I conducted an unannounced annual compliance monitoring at this Five (5) Star Licensed facility. The license was issued on April 15, 2021. The last annual compliance visit was conducted on November 20, 2023. Upon arrival to the facility, I was greeted by a staff member who escorted me to the office of Kristina Barton, Program Director. I stated the purpose of my visit. Mrs. Barton assisted me on a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, indoor gross motor activities, teacher directed activities and routines. The Last Fire Inspection was conducted on December 20, 2023 and approved for daytime care only. The last Sanitation Inspection was conducted on June 21, 2024. The program received a Superior rating. Today, a full assessment of child care requirements was conducted. Including program requirements, license posted, permit restrictions, supervision and staff/child ratio. I monitored, program records, a sampling of children’s records, and new staff files. I also monitored the transportation. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. ****I observed that several staff member files did not contained and updated health questionnaire.**** .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. ****I observed several staff member files which did not have the annual emergency information**** .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. ****Several staff have not completed all of the required on-going training.**** .1103(a) 1123 All vehicles used to transport children were not free of hazards.***There are torn seats with exposed foam on the vehicle used to transport children.*** 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.****The transportation binder did not contain all the pictures of the children who are transported daily.**** 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. ****Two children's records did not contain the health assessment.**** 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. ****Two children's records did not contain the Immunization record**** 10A NCAC 09 .0302(d)(2) 1898 Staff did not complete the health and safety training within one year of employment. ***Staff members required to complete all the health and safety trainings have not completed the trainings within one year of hire.**** .1102(a) The above violations must be corrected immediately, and a letter must be sent to my office on or before November 28, 2024, stating when and how the areas of non-compliance was corrected. The letter must address each of the item numbers and must include the name of your facility, the identification number and your electronic signature. If I do not receive your letter by November 28, 2024 and/or if all violations are not addressed, a return visit may be necessary to ensure compliance with child care requirements, and/or to collect your compliance letter. TECHNICAL ASSISTANCE: You were provided an opportunity to ask questions regarding child care requirements. We discussed classroom management for the school-age group. We discussed the upcoming new QRIS pathways initiative. and we discussed each of the violations cited this date. -Some of the options discussed were the use of the checklist when enrolling children into the program. This use of the checklist and a brief review of that checklist and child’s file within of week or two of enrollment may ensure that all required information has been secured. -When transporting children, along with emergency information, pictures of each child transported must also be among the information contained in the transportation binder this is a NC child care requirement. You have stated that you were currently working on getting this updated and that you typically use ProCare to identify the children being transported. -Please be reminded that vehicles used to transport children should be checked periodically to ensure that any and all torn seats are in good repair. This insures the children’s safety while being transported. -Health Questionnaires and Emergency contact information for staff must be updated annually. Please submit staff and training worksheet for review no later Friday, November 15, 2024. If areas of non compliance are observe, they will be added to the report. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings must be taken within one year of hire and must be renewed every five (5) years. AGENCY NEWS: Please visit our website for more information, at https://ncchildcare.ncdhhs.gov. Check out the ‘What’s New’ tab you will also be able to access information on Child Care Commission meetings. -North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or childcare. In response to Hurricane Helene, Governor Cooper issued Executive Order 319, which allowed for an extension for immunization and reporting deadlines. Read the details in the State Health Director’s Memo. (see link below) Starting November 1, 2024, children will have a 30-day grace period to show compliance with immunization requirements. The new deadline for Annual Immunization Reports is January 15, 2025. Finally, the Annual Immunization Reports for the 2024-25 school year are now open and can be completed. Links below are for your convenience. https://immunization.dph.ncdhhs.gov/memos/SHDmemoExecutiveOrder319.pdf https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report https://surveygizmolibrary.s3.amazonaws.com/library/12181/ChildCareAlchemerReportGuide.pdf Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my Supervisor, Kaye Adkins at kaye.adkins@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 .1002 · Violation

Name of Operation: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 67 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 316 Time In: 09:45 AM Time Out: 03:01 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today, I conducted an unannounced annual compliance monitoring at this Five (5) Star Licensed facility. The license was issued on April 15, 2021. The last annual compliance visit was conducted on November 20, 2023. Upon arrival to the facility, I was greeted by a staff member who escorted me to the office of Kristina Barton, Program Director. I stated the purpose of my visit. Mrs. Barton assisted me on a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, indoor gross motor activities, teacher directed activities and routines. The Last Fire Inspection was conducted on December 20, 2023 and approved for daytime care only. The last Sanitation Inspection was conducted on June 21, 2024. The program received a Superior rating. Today, a full assessment of child care requirements was conducted. Including program requirements, license posted, permit restrictions, supervision and staff/child ratio. I monitored, program records, a sampling of children’s records, and new staff files. I also monitored the transportation. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. ****I observed that several staff member files did not contained and updated health questionnaire.**** .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. ****I observed several staff member files which did not have the annual emergency information**** .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. ****Several staff have not completed all of the required on-going training.**** .1103(a) 1123 All vehicles used to transport children were not free of hazards.***There are torn seats with exposed foam on the vehicle used to transport children.*** 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.****The transportation binder did not contain all the pictures of the children who are transported daily.**** 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. ****Two children's records did not contain the health assessment.**** 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. ****Two children's records did not contain the Immunization record**** 10A NCAC 09 .0302(d)(2) 1898 Staff did not complete the health and safety training within one year of employment. ***Staff members required to complete all the health and safety trainings have not completed the trainings within one year of hire.**** .1102(a) The above violations must be corrected immediately, and a letter must be sent to my office on or before November 28, 2024, stating when and how the areas of non-compliance was corrected. The letter must address each of the item numbers and must include the name of your facility, the identification number and your electronic signature. If I do not receive your letter by November 28, 2024 and/or if all violations are not addressed, a return visit may be necessary to ensure compliance with child care requirements, and/or to collect your compliance letter. TECHNICAL ASSISTANCE: You were provided an opportunity to ask questions regarding child care requirements. We discussed classroom management for the school-age group. We discussed the upcoming new QRIS pathways initiative. and we discussed each of the violations cited this date. -Some of the options discussed were the use of the checklist when enrolling children into the program. This use of the checklist and a brief review of that checklist and child’s file within of week or two of enrollment may ensure that all required information has been secured. -When transporting children, along with emergency information, pictures of each child transported must also be among the information contained in the transportation binder this is a NC child care requirement. You have stated that you were currently working on getting this updated and that you typically use ProCare to identify the children being transported. -Please be reminded that vehicles used to transport children should be checked periodically to ensure that any and all torn seats are in good repair. This insures the children’s safety while being transported. -Health Questionnaires and Emergency contact information for staff must be updated annually. Please submit staff and training worksheet for review no later Friday, November 15, 2024. If areas of non compliance are observe, they will be added to the report. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings must be taken within one year of hire and must be renewed every five (5) years. AGENCY NEWS: Please visit our website for more information, at https://ncchildcare.ncdhhs.gov. Check out the ‘What’s New’ tab you will also be able to access information on Child Care Commission meetings. -North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or childcare. In response to Hurricane Helene, Governor Cooper issued Executive Order 319, which allowed for an extension for immunization and reporting deadlines. Read the details in the State Health Director’s Memo. (see link below) Starting November 1, 2024, children will have a 30-day grace period to show compliance with immunization requirements. The new deadline for Annual Immunization Reports is January 15, 2025. Finally, the Annual Immunization Reports for the 2024-25 school year are now open and can be completed. Links below are for your convenience. https://immunization.dph.ncdhhs.gov/memos/SHDmemoExecutiveOrder319.pdf https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report https://surveygizmolibrary.s3.amazonaws.com/library/12181/ChildCareAlchemerReportGuide.pdf Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my Supervisor, Kaye Adkins at kaye.adkins@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 .1003 · Violation

Name of Operation: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 67 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 316 Time In: 09:45 AM Time Out: 03:01 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today, I conducted an unannounced annual compliance monitoring at this Five (5) Star Licensed facility. The license was issued on April 15, 2021. The last annual compliance visit was conducted on November 20, 2023. Upon arrival to the facility, I was greeted by a staff member who escorted me to the office of Kristina Barton, Program Director. I stated the purpose of my visit. Mrs. Barton assisted me on a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, indoor gross motor activities, teacher directed activities and routines. The Last Fire Inspection was conducted on December 20, 2023 and approved for daytime care only. The last Sanitation Inspection was conducted on June 21, 2024. The program received a Superior rating. Today, a full assessment of child care requirements was conducted. Including program requirements, license posted, permit restrictions, supervision and staff/child ratio. I monitored, program records, a sampling of children’s records, and new staff files. I also monitored the transportation. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. ****I observed that several staff member files did not contained and updated health questionnaire.**** .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. ****I observed several staff member files which did not have the annual emergency information**** .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. ****Several staff have not completed all of the required on-going training.**** .1103(a) 1123 All vehicles used to transport children were not free of hazards.***There are torn seats with exposed foam on the vehicle used to transport children.*** 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.****The transportation binder did not contain all the pictures of the children who are transported daily.**** 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. ****Two children's records did not contain the health assessment.**** 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. ****Two children's records did not contain the Immunization record**** 10A NCAC 09 .0302(d)(2) 1898 Staff did not complete the health and safety training within one year of employment. ***Staff members required to complete all the health and safety trainings have not completed the trainings within one year of hire.**** .1102(a) The above violations must be corrected immediately, and a letter must be sent to my office on or before November 28, 2024, stating when and how the areas of non-compliance was corrected. The letter must address each of the item numbers and must include the name of your facility, the identification number and your electronic signature. If I do not receive your letter by November 28, 2024 and/or if all violations are not addressed, a return visit may be necessary to ensure compliance with child care requirements, and/or to collect your compliance letter. TECHNICAL ASSISTANCE: You were provided an opportunity to ask questions regarding child care requirements. We discussed classroom management for the school-age group. We discussed the upcoming new QRIS pathways initiative. and we discussed each of the violations cited this date. -Some of the options discussed were the use of the checklist when enrolling children into the program. This use of the checklist and a brief review of that checklist and child’s file within of week or two of enrollment may ensure that all required information has been secured. -When transporting children, along with emergency information, pictures of each child transported must also be among the information contained in the transportation binder this is a NC child care requirement. You have stated that you were currently working on getting this updated and that you typically use ProCare to identify the children being transported. -Please be reminded that vehicles used to transport children should be checked periodically to ensure that any and all torn seats are in good repair. This insures the children’s safety while being transported. -Health Questionnaires and Emergency contact information for staff must be updated annually. Please submit staff and training worksheet for review no later Friday, November 15, 2024. If areas of non compliance are observe, they will be added to the report. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings must be taken within one year of hire and must be renewed every five (5) years. AGENCY NEWS: Please visit our website for more information, at https://ncchildcare.ncdhhs.gov. Check out the ‘What’s New’ tab you will also be able to access information on Child Care Commission meetings. -North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or childcare. In response to Hurricane Helene, Governor Cooper issued Executive Order 319, which allowed for an extension for immunization and reporting deadlines. Read the details in the State Health Director’s Memo. (see link below) Starting November 1, 2024, children will have a 30-day grace period to show compliance with immunization requirements. The new deadline for Annual Immunization Reports is January 15, 2025. Finally, the Annual Immunization Reports for the 2024-25 school year are now open and can be completed. Links below are for your convenience. https://immunization.dph.ncdhhs.gov/memos/SHDmemoExecutiveOrder319.pdf https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report https://surveygizmolibrary.s3.amazonaws.com/library/12181/ChildCareAlchemerReportGuide.pdf Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my Supervisor, Kaye Adkins at kaye.adkins@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: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 67 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 316 Time In: 09:45 AM Time Out: 03:01 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today, I conducted an unannounced annual compliance monitoring at this Five (5) Star Licensed facility. The license was issued on April 15, 2021. The last annual compliance visit was conducted on November 20, 2023. Upon arrival to the facility, I was greeted by a staff member who escorted me to the office of Kristina Barton, Program Director. I stated the purpose of my visit. Mrs. Barton assisted me on a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, indoor gross motor activities, teacher directed activities and routines. The Last Fire Inspection was conducted on December 20, 2023 and approved for daytime care only. The last Sanitation Inspection was conducted on June 21, 2024. The program received a Superior rating. Today, a full assessment of child care requirements was conducted. Including program requirements, license posted, permit restrictions, supervision and staff/child ratio. I monitored, program records, a sampling of children’s records, and new staff files. I also monitored the transportation. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. ****I observed that several staff member files did not contained and updated health questionnaire.**** .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. ****I observed several staff member files which did not have the annual emergency information**** .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. ****Several staff have not completed all of the required on-going training.**** .1103(a) 1123 All vehicles used to transport children were not free of hazards.***There are torn seats with exposed foam on the vehicle used to transport children.*** 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.****The transportation binder did not contain all the pictures of the children who are transported daily.**** 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. ****Two children's records did not contain the health assessment.**** 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. ****Two children's records did not contain the Immunization record**** 10A NCAC 09 .0302(d)(2) 1898 Staff did not complete the health and safety training within one year of employment. ***Staff members required to complete all the health and safety trainings have not completed the trainings within one year of hire.**** .1102(a) The above violations must be corrected immediately, and a letter must be sent to my office on or before November 28, 2024, stating when and how the areas of non-compliance was corrected. The letter must address each of the item numbers and must include the name of your facility, the identification number and your electronic signature. If I do not receive your letter by November 28, 2024 and/or if all violations are not addressed, a return visit may be necessary to ensure compliance with child care requirements, and/or to collect your compliance letter. TECHNICAL ASSISTANCE: You were provided an opportunity to ask questions regarding child care requirements. We discussed classroom management for the school-age group. We discussed the upcoming new QRIS pathways initiative. and we discussed each of the violations cited this date. -Some of the options discussed were the use of the checklist when enrolling children into the program. This use of the checklist and a brief review of that checklist and child’s file within of week or two of enrollment may ensure that all required information has been secured. -When transporting children, along with emergency information, pictures of each child transported must also be among the information contained in the transportation binder this is a NC child care requirement. You have stated that you were currently working on getting this updated and that you typically use ProCare to identify the children being transported. -Please be reminded that vehicles used to transport children should be checked periodically to ensure that any and all torn seats are in good repair. This insures the children’s safety while being transported. -Health Questionnaires and Emergency contact information for staff must be updated annually. Please submit staff and training worksheet for review no later Friday, November 15, 2024. If areas of non compliance are observe, they will be added to the report. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings must be taken within one year of hire and must be renewed every five (5) years. AGENCY NEWS: Please visit our website for more information, at https://ncchildcare.ncdhhs.gov. Check out the ‘What’s New’ tab you will also be able to access information on Child Care Commission meetings. -North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or childcare. In response to Hurricane Helene, Governor Cooper issued Executive Order 319, which allowed for an extension for immunization and reporting deadlines. Read the details in the State Health Director’s Memo. (see link below) Starting November 1, 2024, children will have a 30-day grace period to show compliance with immunization requirements. The new deadline for Annual Immunization Reports is January 15, 2025. Finally, the Annual Immunization Reports for the 2024-25 school year are now open and can be completed. Links below are for your convenience. https://immunization.dph.ncdhhs.gov/memos/SHDmemoExecutiveOrder319.pdf https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report https://surveygizmolibrary.s3.amazonaws.com/library/12181/ChildCareAlchemerReportGuide.pdf Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: LIFESPAN EARLY LEARNING CENTER Facility ID: 01000441 Consultant: ANITA GRAHAM Operation Type: Center Case Number: 1024-002L Visit Date: 10/3/2024 Number Present: 57 Completed Date: 10/3/2024 Age: From 0 To 5 Total Minutes: 127 Time In: 12:43 PM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate an allegation of a violation of child care requirements. On October 1, 2024, the Raleigh office received a report of non-compliance with child care requirements regarding supervision. Upon arrival to the facility, I was greeted by a staff member. I introduced myself and requested to see the administrator. I was escorted to the office of Kristina Barton, Program Director, who was present and assisted me during the investigation. ALLEGATION #1 There is a concern regarding supervision. OBSERVATION: I discussed the incident with the administrator who explained to me that staff members discovered that one of their students was left on the playground after a fire drill. The administrator investigated the events of the incident, and on October 2, 2024 the program brought disciplinary actions, upon the staff members and a documented occurrence. I conducted a walkthrough of the facility. I reviewed the signed documentation of the investigation and the incident report. I reviewed a portion of the video footage. I interviewed both staff members responsible for the safe return of the children to the classroom on the day of the alleged supervision incident. Both staff members, responsible for care of the children stated today, that a child was left on the playground for approximately fifteen(15) minutes after all others returned to the classroom following the fire drill. Additionally, I interviewed a staff member who observed the child alone on the playground as she was bringing her class out for recess. She describes as soon as she was entering the playground with her class, she observed the staff member from the toddler class, running out to the playground to retrieve the child. CONCLUSION: Based on statements from the administrator, and other staff members; and my review of the video footage, this allegation is Substantiated. The following violations were observed, cited and technical assistance and resource links were offered. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Staff members left a child who is one (1) year old, unattended on the playground after a fire drill for approximately Fifteen(15) minutes. .1801(a)(1-5) 871 Center staff did not comply with the safe sleep policy. In a classroom with infants, a child was observed asleep in a bouncy chair. Division Representative noticed the infant sleeping and reminded the staff member that the child should be moved from the seat and placed in the crib for resting. Division Representative observed the staff member wake the child by rubbing the child's belly. The child remained in the bouncy and was not observed moved to the crib. 10A NCAC 09 .0606(a) 904 Child was handled roughly. While a staff member was retrieving one child from the playground another child was seen running out of the door. The staff member caught, lifted and carried the child by the arm and placed them on the inside of the classroom entryway. .1803(a)(1) The above violation must be corrected immediately, and a letter sent to my office stating how the violation was corrected. Please include with the letter the item number cited any documentation to support the corrective actions taken. Your letter should be received by my office on or before October 17, 2024. You may email the letter to me at anita.c.grahm@dhhs.nc.gov or you may mail the letter to Anita Graham, PO Box 665, Pleasant Garden, NC 27313. You were provided an opportunity to ask question regarding child care requirements. We discussed the items of non-compliance and the rationale of the rules. TECHNICAL ASSISTANCE: The program will benefit from a few tweaks to the execution of the monthly fire drill for the purpose of a more systematic reentry to the building after each drill. You may require that when two classrooms share the same safety zone during the drill that classes exit that zone one classroom at a time. While one class is entering the building, the other class is participating in transitional activities until it can safely and confidently escort their children into the building ensuring that all children are accounted for. Counting and recounting, using name-to-face recognition. Interactions with Toddlers are critical for a child’s social-emotional development. Forming and maintaining a rich environment and warm, responsive interactions between staff and children are among the elements that produce positive impacts in the lives of children. This is most important during challenging moments. Extra care should be taken when lifting a child. Children should not be lifted inappropriately at any time. When it is necessary to lift a child, one should never be lifted by an arm. It is important that they are lifted gently and only by the torso of the body. Best Practice for infant safe sleep: Programs should ensure that the staff follow their safe sleep policy. Programs should only use approved, safe sleep equipment for sleeping. If an infant fall asleep in any place that is not safe for sleeping, move the infant at once and place them on their back in their crib. If an infant arrives at the program in a car seat, remove the infant from the seat at once, and if the infant is asleep, place them on their back in a safe place to sleep (i.e., the infant’s assigned crib). Infants should not nap or sleep in a car seat, bean bag chair, bouncy seat, infant seat, swing, jumping chair, highchair, chair, futon, sofa, or any other furniture or equipment that is not a crib or sleep product that meets the safety standards of the CPSC.5. When infants wake up, remove them from their cribs and return them to the play area. RESOURCE LINKS: Childcare.NET: https://www.childcare.net/ https://nrckids.org/CFOC Caring for Our Children National Health and Safety Performance Standard Guidelines for Early Care and Education Programs Thank you for your assistance during today’s visit. If you have any additional questions or concerns, please contact me at (336) 894-0609. You may also contact my supervisor, Kaye Adkins at kaye.adkins@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